series of pancreatitis cases

1
LEITERS Series of pancreatitis h4ADAM I am writing concerning a series of canine pancreatitis cases seen recently in this prac- tice. In the space of four weeks we have observed five cases (three female neutered, one male neutered and one entire male), average age 7.5 years (range three to 13.5 years) and of various breeds. None of the cases was significantly overweight. In the seven years I have been at this practice I would suggest that normally we would see this number of cases over a six- to eight- month period. These cases have presented as being lethargic, with reduced appetite or anorexia, and vomiting. The majority of cases have been pyrexic and most but not all have shown signs of abdominal pain. Routine biochemical analysis has revealed considerable inflammatory responses - total proteins, globulins, white cell counts and neutrophils have been high in all cases. In three of the cases, amylase was consider- ably raised and in all cases lipase was very high. Abdominal radiography was unre- markable. One case was confirmed using abdominal ultrasound at the Royal Veterinary College. All cases were treated with antibiotic cover and intravenous fluids (nil by mouth) and were hospitalised. One case remained pyrexic for 11 days and was given intravenous steroids daily, which improved the dog’s clinical condition con- siderably. However, sadly this case relapsed and died. Additionally, one elderly dog was euthanased, partly due to other unrelated geriatric conditions. The other three are currently progressing well. One client mentioned to me that a friend of hers in East Anglia reported that veterinary surgeons in her area had noted a similar increase in occurrence of this con- dition. Is this the case? While I realise this may be a case of ‘there’s a lot of it about’, I feel it is worthwhile reporting and seeing if other colleagues have experienced any such increase in cases. Graham Finch The Blythwood Eterinaly Group 500 Uxbridge Road, Pinner Middlesex HA5 4SL BSAVA membership rates Membership subscription rates Full member Full joint members (husband and wife) Associate member Student member Postgraduate Student membership Limited to undergraduates studying for a primary degree in veterinary science, entitling them to registration as a member of the Royal College of Veterinary Surgeons, and for the first year when qualified. Postgraduate student membership Limited to veterinar- ians who are in full-time postgraduate education studying for a higher qualification and verified with an annual certifi- cate signed by their supervisor. f98 €131 L98 €33 €66 Member who has attained 65th birthday To join the Association, please apply for the necessary by January 1 of current year €33 application form from: BSAVA Office, Kingsley House, Church Lane, Shurdington, Cheltenham, Gloucestershire GL515TQ Members with direct debits will have their subscription deducted in early January. Full membership Open to members of the Royal College of Veterinary Surgeons and to veterinary practitioners listed in the Supplementary Veterinary Register. They must also be members of the British Veterinary Association. Associate membership Open to veterinarians who are not members of the British Veterinary Association. Non- veterinarians may apply for associate membership and their applications must be accompanied by a curriculum vitae. Applicants for membership must be proposed and seconded by full members of the BSAVA. telephone 01242862994, fax 01242 863009 e-mail [email protected] The annual subscription is payable in full irrespective of the date of application and thereafter on January 1 of each year. New members receive all the issues of the Journal of Small Animal Practice for the year in which they join. Please note that the subscription is tax deductible. To enable the Journal and other mail to be sent promptly, please notify the BSAVA Office in writing of any changes of address. 208 - JOWAI. OF SMALL. ANIMAL PRACTICE VOL 39 APRIL 1998

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LEITERS

Series of pancreatitis

h4ADAM I am writing concerning a series of canine pancreatitis cases seen recently in this prac- tice. In the space of four weeks we have observed five cases (three female neutered, one male neutered and one entire male), average age 7.5 years (range three to 13.5 years) and of various breeds. None of the cases was significantly overweight. In the seven years I have been at this practice I would suggest that normally we would see this number of cases over a six- to eight- month period.

These cases have presented as being lethargic, with reduced appetite or

anorexia, and vomiting. The majority of cases have been pyrexic and most but not all have shown signs of abdominal pain. Routine biochemical analysis has revealed considerable inflammatory responses - total proteins, globulins, white cell counts and neutrophils have been high in all cases. In three of the cases, amylase was consider- ably raised and in all cases lipase was very high. Abdominal radiography was unre- markable. One case was confirmed using abdominal ultrasound at the Royal Veterinary College.

All cases were treated with antibiotic cover and intravenous fluids (nil by mouth) and were hospitalised. One case remained pyrexic for 11 days and was given intravenous steroids daily, which improved the dog’s clinical condition con-

siderably. However, sadly this case relapsed and died. Additionally, one elderly dog was euthanased, partly due to other unrelated geriatric conditions. The other three are currently progressing well.

One client mentioned to me that a friend of hers in East Anglia reported that veterinary surgeons in her area had noted a similar increase in occurrence of this con- dition. Is this the case? While I realise this may be a case of ‘there’s a lot of it about’, I feel it is worthwhile reporting and seeing if other colleagues have experienced any such increase in cases.

Graham Finch The Blythwood Eterinaly Group

500 Uxbridge Road, Pinner Middlesex HA5 4SL

BSAVA membership rates

Membership subscription rates

Full member

Full joint members (husband and wife)

Associate member

Student member

Postgraduate

Student membership Limited to undergraduates studying for a primary degree in veterinary science, entitling them to registration as a member of the Royal College of Veterinary Surgeons, and for the first year when qualified.

Postgraduate student membership Limited to veterinar- ians who are in full-time postgraduate education studying for a higher qualification and verified with an annual certifi- cate signed by their supervisor.

f98

€131

L98

€33

€66

Member who has attained 65th birthday To join the Association, please apply for the necessary by January 1 of current year €33 application form from:

BSAVA Office, Kingsley House, Church Lane, Shurdington, Cheltenham, Gloucestershire GL515TQ Members with direct debits will have their subscription

deducted in early January.

Full membership Open to members of the Royal College of Veterinary Surgeons and to veterinary practitioners listed in the Supplementary Veterinary Register. They must also be members of the British Veterinary Association.

Associate membership Open to veterinarians who are not members of the British Veterinary Association. Non- veterinarians may apply for associate membership and their applications must be accompanied by a curriculum vitae. Applicants for membership must be proposed and seconded by full members of the BSAVA.

telephone 01242 862994, fax 01242 863009 e-mail [email protected]

The annual subscription is payable in full irrespective of the date of application and thereafter on January 1 of each year. New members receive all the issues of the Journal of Small Animal Practice for the year in which they join.

Please note that the subscription is tax deductible.

To enable the Journal and other mail to be sent promptly, please notify the BSAVA Office in writing of any changes of address.

208 - J O W A I . O F SMALL. ANIMAL PRACTICE VOL 39 APRIL 1998