Pulmonary alveolar proteinosis in a cat

BMC Veterinary Research

Case Report

Erik Teske¹  Viktor Szatmári¹  Frank G. van Steenbeek¹  Guy Grinwis²  Peter G. J. Nikkels³  Pim A. de Jong⁴  Stefanie Veraa⁵  Matthias Griese⁶  Dirk Theegarten⁷  Marjolein Drent⁸  Francesco Bonella⁹ 

[1] Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands;Department of Pathobiology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands;Department of Pathology, University Medical Centre Utrecht, Utrecht, The Netherlands;Department of Radiology, University Medical Centre Utrecht, Utrecht, The Netherlands;Division of Diagnostic Imaging, Department of Clinical Sciences of Companion Animals, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands;Dr von Haunersches Kinderspital, University of Munich, Munich, Germany;Institute of Pathology and Neuropathology, University Hospital, University of Duisburg-Essen, Essen, Germany;Interstitial Lung Diseases, Department of Pharmacology and Toxicology, Faculty of Health, Medicine and Life Science, University Maastricht, Maastricht, The Netherlands;Interstitial and Rare Lung Disease Unit, Ruhrlandklinik, University Hospital, University of Duisburg-Essen, Essen, Germany;

关键词: Bronchoalveolar lavage;    Cat;    Computed tomography scan;    Congenital;    Electron microscopy;    Energy dispersive X-ray analysis;    Granulocyte-macrophage colony-stimulating factor;    Lung;    Respiratory distress;    Surfactant;   

DOI  :  10.1186/s12917-015-0613-4

 received in 2015-03-19, accepted in 2015-08-25,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundPulmonary alveolar proteinosis is an extremely rare lung disease in animals and humans. It is characterized by the deposition of a large amount of phospholipoproteinaceous material in the alveoli. There are several possible etiologies, both congenital and acquired. Alveolar macrophages play an important role in the clearance of surfactant. This is the first report of pulmonary alveolar proteinosis in the feline species.Case presentationPulmonary alveolar proteinosis was diagnosed in an 8-month-old cat with chronic tachypnea, failure to thrive and finally respiratory distress. The diagnosis was based on the milky appearance of the bronchoalveolar lavage fluid taken under general anesthesia after bronchoscopy. Because of the worsening respiratory distress and development of anorexia the kitten was euthanized. Histopathology of the lungs showed alveoli and bronchi filled with eosinophilic material. Electron microscopy revealed lamellated intra-alveolar bodies. As the granulocyte-macrophage colony-stimulating factor was elevated in the serum and no autoantibodies against granulocyte-macrophage colony-stimulating factor were detected, a primary hereditary pulmonary alveolar proteinosis was suspected. The underlying cause was thought to be a dysfunction of the receptor of the granulocyte-macrophage colony-stimulating factor, however, a mutation in the genes encoding the alpha and beta chains of this receptor has not been found.ConclusionThis is the first description of pulmonary alveolar protienosis in a cat. This kitten is thought to have a primary hereditary pulmonary alveolar proteinosis with a possible defect in the signalling pathway of the receptor of the granulocyte-macrophage colony-stimulating factor. The imaging and pathologic findings are similar to those of humans.

【 授权许可】

CC BY   
© Szatmári et al. 2015