hematología en aves final.3
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Monocitos:Como en los mamferos, los monocitosaviares son parte del sistema de
monocito-macrfagos y constituyen lapiscina de reemplazo para los macrfagos
del tejido
104
.
Basfilos:Los basfilos parecen jugar un papel
importante en la inflamacin temprana yreacciones de hipersensibilidad
inmediata, pero difieren de los de losmamferos al no contribuir a la
hipersensibilidad retardada102
.
Eosinfilos:
La funcin de los eosinfilos aviar espoco conocida. La eosinofilia puede serobservado despus de la administracin
antgeno extrao y, posiblemente, enasociacin con el parasitismo tracto
alimentario, pero la respuesta parsita poreste tipo de clulas en las aves no ha sido
cientficamente confirmada103,104
.
Trombocitos:Los trombocitos son el equivalente
funcional de las plaquetas de mamferos.A menudo confundido con linfocitos
pequeos y tienen una tendencia aagruparse en los frotis, en particular
cuando se procesa sin el uso de unanticoagulante. Cuando se produce la
formacin de grumos, pueden mostrar ladesgranulacin de grnulos especficos,
degeneracin celular y picnosis nuclear104
Como con las plaquetas de mamferos,
aves trombocitos agregados puerta en unsitio de la lesin vascular y formar un
tapn hemosttico. Adems, trombocitostienen habilidades fagocticas y
probablemente tienen alguna funcin enalteraciones en los la inmunidad
105,106.
ALGUNOS CAMBIOSMORFOLGICOS:Cuerpos de Heinz pueden estar asociados
con la anemia hemoltica en las aves yrepresentan daos oxidativo a los
eritrocitos. Se asemejan a los observadasen los mamferos107
.
Fig 5.Los cuerpos de Heinz son proyecciones redondeadasde la superficie de los eritrocitos que representan la
hemoglobina desnaturalizada despus del dao oxidativo133
La presencia de heterfilos inmaduros en
la sangre perifrica por lo general indicauna respuesta inflamatoria severa,
especialmente en asociacin con una
leucopenia (degeneracin rativadesplazamiento a la izquierda)
121.
Fig 6. Heterfilos inmaduros cuando se ven indica inflamacingrave132 .
La presencia de heterfilos txicos122
tambin es poco comn en la sangre
perifrica de aves. Pero, cuando estpresente, sugieren la presencia de una
septicemia o toxemia (especialmenteasociado con toxinas bacterianas que
afectan el microambiente del tejido
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hematopoytico). Cuanto mayor es el
grado de toxicidad, ms grave es laenfermedad. La presencia de un nmero
de marcado +4 heterfilos txicos indicaun mal pronstico para la supervivencia
en las aves.
Fig 7. Heterfilos con cambios txicos, pueden mostrarbasofilia citoplasmtica, hipersegmentacin nuclear,vacuolizacin. Los heterfilos txicos y heterfilos inmaduros
pueden confundirse.
Discusin y perspectivas a futuro
Las aves presentan caractersticas
morfolgicas que difieren de losmamferos. Estas caractersticas pueden
llevar a un mal diagnstico para aquellosque no se han instruido en el tema de la
hematologa aviar.
Los mdicos veterinarios, biolgos yaficionados de las aves son los principales
responsables de dar a conocer estasdiferencias a sus pares, es por esto que
este trabajo pretende dar a conocerinformacin bsica y relevante a los
interesados en este tema.
Al momento de realizar una comparacincualitativa entre los rangos de las
diferentes especies de aves que aadimosen el anexo 1, podemos apreciar que la
diferencia entre especie es significativa;por lo que es necesario generar ms
estudios en las diferentes especies, y noslo en las familias, ya que al realizar estainvestigacin notamos, que existan no
slo diferencias entre macho y hembras,si no que tambin en el estado que se
encontraban (juveniles v/s adultos).
La medicina veterinaria avanza a grandes
pasos ao tras ao, y de tal modo lo hacenlos propietarios, ya que no son slo los
pacientes caninos y felinos los que llegana la consulta, si no tambin lo son los
animales exticos. Es por esto, que esnecesario generar instancias de
investigacin, para dar a conocer lasdiferencias que se pueden encontrar en las
aves, de esta manera evitaremossubdiagnosticar o sobrediagnosticar
enfermedades.
La capacitacin a los medicosveterinarios que hacen clnica y a los que
se encargan del era de patologa, son el
nexo que ayudarn a crear conciencia yayudar a los futuros pacientes.
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110. Zon, LI: Developmental biology of hematopoiesis.
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Anexo 1: Algunos rangos de referencia para distintas especies
Subclase Infraclase Orden Familia Gnero Especie Clulassanguneas
Intervalo
Paleognathae Struthioniformes Struthionidae
Struthio Struthiocamelus40-42 Eritrocitos (10cl/mm
3)
1,18 - 2,87
Hemoglobina
(g/L)
6,55 - 13,9
VCM (fL) 151,78-371,1
CHCM (%) 7,4 - 24,53
Leucocitos (103
cl/mm3)
7,4 - 24,52
Heterfilos (%) 60,5 - 85,5
Linfocitos (%) 11,5 - 31,5
Monocitos (%) 0,00 - 7,00
Eosinfilos (%) 0,00 - 5,00
Basfilos (%) 0,00 - 1,00
Rheiformes Rheidae Rhea Rhea
americana43-46
Eritrocitos (106
cl/mm3)
2,25 0,1
Hemoglobina
(g/L)
13,4 0,45
VCM (fL) 18,5 5,9
CHCM (%) 32 0,01
Leucocitos (10
cl/mm3)
13,6 3,3
Heterfilos (%) 59,5 33,3
Linfocitos (%) 31,6 23,2
Monocitos (%) 3,68 2,94
Eosinfilos (%) 1,47 1,47
Basfilos (%) 3,68 3,68
Tinamiformes Tinamidae Eudromia Eudromia
elegans4,487
Leucocitos (10
cl/mm3
)
8,90 - 21,2
Heterfilos
(103cl/mm
3)
1,39 - 8,64
Linfocitos (10
cl/mm3)
5,18 - 13,1
Monocitos (10
cl/mm3)
0,00 - 1,48
Basfilos (10
cl/mm3)
0,00 - 0,94
Eosinfilos
(103cl/mm
3)
0,00 - 0,64
Hct (%) 29,00 - 41,0
Neognathae Galloanserae Anseriformes
Anatidae Cygnus Cygnus
olor50
Eritrocitos (10
cl/mm3)
1,54-2,715
Hemoglobina(g/L)
8,9-23,85
VCM (um3) 106,05-220
CHCM (%) 21,55-79,8
Leucocitos (109
cl/mm3)
4,5-29,25
Heterofilos (%) 23,5-65,5
Linfocitos (%) 30,0-68,5
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cl./mm )
Linfocitos (10
cl./mm3)
0,35-5,4
Monocitos (109
cl./mm3)
0,0-1,55
Eosinfilos
(109/mm3)
0,05-1,1
Basfilos
(103/mm
3)
0,0-0,3
Ciconiiformes Ciconiidae Mycteria Mycterialeucocephala69,70
Eritrocitos (10
cl./uL)
2,42-4,06
Hemoglobina
(g/dL)
16,11-19,2
VCM (fL) 100,77-178,
Leucocitos (104
cl./uL)
1,28-6,48
Heterfilos (%) 1,11-20,09
Linfocitos (%) 65,82-86,3
Monocitos (%) 0,00-0,00
Eosinfilos (%) 3,46-20,54
Basfilo (%) 0,0-2,33
Coliiformes Coliidae Urocolius Urocolius
macrourus71
Eritrocitos (10
cl./mm3)
2,69-5,10
Hemoglobina
(%)
11,6-18,77
Volumen (um ) 116,7-181,
CHCM (%) 4,38-7,50
Leucocitos (10
cl./mm3)
20,0-40,0
Heterfilos (%) 16,0-31,5
Linfocitos (%) 55,0-72,0
Monocitos (%) 2,0-7,3
Eosinfilos (%) 1,2-6,0
Basfilos (%) 0,0-4,5Columbiformes Columbidae
Columbinae72
Eritrocitos (10
cl./L)
4,92 0,13
Hemoglobina
(g/dL)
14,28 0,2
Leucocitos (109
cl/L)
27,31 1,8
Heterfilos (%) 41,68 0,5
Linfocitos (%) 53,01 0,6
Monocitos (%) 0,80 0,23
Eosinfilos (%) 2,37 0,24
Basfilos (%) 1,62 0,22
Cuculiformes *
Falconiformes Falconidae Falco Falco
tinnunculus1
26, 129
Eritrocitos (10
cl./L)
1.52-2.92
Hemoglobina
(g/L)
88-145
VCM (fL) 114.10- 281.
CHCM(%) 204.36-361.
Leucocitos (10
cl/L)
4.25- 9.75
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Heterfilos (%) 42.00-55.0
Linfocitos (%) 35.00-56.0
Monocitos (%) 1.00-4.00
Eosinfilos (%) 0.00-0.00
Basfilos (%) 1.00-5.00
Gaviiformes Gaviidae Gavia Gavia
immer130
Hematocrito(%) 30- 56
Leucocitos
(109cel/L)
9-33
Heterfilos (%) 10-56
Eosinfilos (%) 7-59
Monocitos (%) 11-76
Basfilos (%) 0-1
Gruiformes
Eritrocitos
(1012
cl/L)
2,54
Hemoglobina
(g/L)
16,15
Leucocitos (109
cl/L)
6
Heterfilos (%) 53,3
Linfocitos (%) 929,8
Monocitos (%) 0- 1,08
Eosinfilos (%) 0- 9,8
Basfilos (%) 0-1,6
Trombocitos
(109cl/L)
0-16,8
Passeriformes Emberizidae Zonotrichia Zonotrichia
capensis136
Heterfilos (%) 54.5 6.9
Linfocitos (%) 34.7 5.5Monocitos (%) 2.9 2.6
Eosinfilos (%) 1.5 2.2
Basfilos (%) 6.3 3.1
Pelecaniformes Pelecanidae Pelecanus Pelecanus
onocrotalus137
Hematocrito
(%)
39.16.9
Phoenicopterifor
mes
Phoenicopteridae Phoenicopter
us
Phoenicopter
us ruber
ruber135
Eritrocitos(10 /u
L)
1,12-1,85
Hemoglobina(g/
gL)
9,22-17,65
Hematocrito
(%)
37,95-57,8
VCM (fL) 234,31 -419,
CHCM(g/dL) 20,42 35,8
Leucocitos
(cel/uL)
1.531-15.89
Heterofilos(%) 10,09-114,4
Linfocitos(%) 8,41-96,02
Monocitos(%) 0,72-18,94
Eosinfilos(%) 0-3,89
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Basfilos (%) 0-8,49
Piciformes
**
Podicipediformes *
Procellariformes Procellariidae Macronecte
s
M.
giganteus56,5
7
Hematocrito
(%)
38-53,5
Leucocitos (10
cl./mm3)
2,1-6,58
Heterfilos (103
cl./mm3)
0,9-3,9
Linfocitos (103
cl./mm3)
0,4-2,5
Monocitos (10
cl./mm3)
0,02-0,37
Eosinfilos
(103/mm
3)
0,11-1,10
Basfilos (10
cl./mm3)
0,00-0,01
Psittaciformes58
Psittacidae Amazona Amazonabrasiliensis
5
9,60
Eritrocitos (106
cl./uL)
0,50-3,65
Hemoglobina
(g/dL)
6,55-14,48
VCM (fL) 123-520
CHCM (g/dL) 196-503
Leucocitos (10
cl./uL)
10,0-63,0
Heterfilos (%) 35-85
Linfocitos (%) 6,0-55,0
Monocitos (%) 0,0-3,0
Eosinfilos (%) 0,0-1,0
Basfilos (%) 0,0-5,0
Pterocliciformes *
Sphenisciformes Spheniscidae Spheniscus Spheniscus
mendiculus1
27
Hematocrito
(%)128 41.25
Leucocitos (%) 25 -56
Heterfilos (%) 8-85
Linfocitos (%) 6-85
Eosinfilos(%) 0-37
Basfilos (%) 0-3
Strigiformes126
Eritrocitos
(1012
cel/L)
1.63.3
VCM (fL) 135270
Leucocitos
109/L
11,3 -26,5
Heterofilos (%) 2685
Linfocitos (%) 241
Monocitos (%) 017
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