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Concurrent renal amyloidosis and thymoma resulting in a fatal ventricular thrombus in a dog

机译:并发肾淀粉样变性和胸腺瘤导致犬致命性室性血栓

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摘要

Thymoma‐associated nephropathies have been reported in people but not in dogs. In this report, we describe a dog with thymoma and concurrent renal amyloidosis. A 7‐year‐old castrated male Weimaraner was presented for progressive anorexia, lethargy, and tachypnea. The dog was diagnosed with azotemia, marked proteinuria, and a thymoma that was surgically removed. Postoperatively, the dog developed a large left ventricular thrombus and was euthanized. Necropsy confirmed the presence of a left ventricular thrombus and histopathology revealed renal amyloidosis. We speculate that the renal amyloidosis occurred secondary to the thymoma, with amyloidosis in turn leading to nephrotic syndrome, hypercoagulability, and ventricular thrombosis. This case illustrates the potential for thymoma‐associated nephropathies to occur in dogs and that dogs suspected to have thymoma should have a urinalysis and urine protein creatinine ratio performed as part of the pre‐surgical database.
机译:据报道,胸腺瘤性肾病在人中有报道,但在狗中却没有。在此报告中,我们描述了患有胸腺瘤并发肾淀粉样变性的狗。出现了一名7岁cast割的男性Weimaraner,用于进行性厌食,嗜睡和呼吸急促。这只狗被诊断出有氮质血症,明显的蛋白尿和被手术切除的胸腺瘤。术后,这只狗出现了大的左心室血栓并被安乐死。尸检证实存在左心室血栓,并且组织病理学显示肾淀粉样变性。我们推测肾淀粉样变性病继发于胸腺瘤,淀粉样变性病继而导致肾病综合征,高凝性和心室血栓形成。该病例说明了在犬中发生胸腺瘤相关性肾病的可能性,并且怀疑患有胸腺瘤的犬应进行尿液分析和尿蛋白肌酐比值作为术前数据库的一部分。

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