Hemolytic anemia due to red cell pyruvate kinase (PK) deficiency is a metabolic disorder characterized by a variable degree of chronic nonspherocytic hemolytic . La deficiencia de piruvato cinasa es una causa rara de anemia hemolítica. Durante el embarazo, se ha tratado casos graves de esta deficiencia con. Anemia Hemolítica no esferocítica (AHCNE) por deficiencia de piruvato quinasa: informe del segundo caso en Costa Rica. Rev. costarric. cienc. méd [online].
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Ve fact, considering the high mortality ceficiencia of dogs with immune-meditated hemolytic anemia, PK deficiency may offer a better prognosis. At the first examination, a leukocytosis may be normal for the young age or could have been associated with another concurrent illness, which may have been corrected by supportive treatment. Specialised Social Services Eurordis directory.
Pathogenesis, laboratory diagnosis, and clinical implications of erytrocyte enzyme deficiencies in dogs, cats, and horses. Embarazada o en periodo de lactancia 9. On blood smear evaluation anisocytosis, marked polychromasia, and normoblastosis were present. Pyruvate kinase deficiency is the most common erythroenzymopathy in humans, dogs and cats. Thus, PK-deficient patients and for that matter any animals with hemolytic anemia should not be supplemented with oral or parenteral iron.
Textbook of Veterinary Internal Medicine: J Small Anim Pract 31, Hemolitiica, DNA was extracted from nucleated cells from a small aliquot of the EDTA blood and specific primers were used to amplify the region surrounding the known mutation in WHWT with a polymerase chain reaction.
In case of persistent normocytic hemolytic anemia in which deficienxia abnormalities and antiglobulin reactions have been excluded, spherocytes are absent, and osmotic fragility is normal, the diagnosis of hereditary nonspherocytic hemolytic anemia should be considered. Only comments written in English can be processed. Haber recibido tratamiento previo con un activador de PK 7.
Consecuencias de la deficiencia PK en eritrocito by Sofía Herrera on Prezi
In this case, the patient could be negative for Dal or another antigen. Inherited erythrocyte pyruvate kinase deficiency in the West Highland White terrier. J Feline Med Surg 10, A massive reticulocytosis was confirmed cinaasa a New Methylene Blue-stained blood smear. While in cinaaa past PK-deficiency was diagnosed by erythrocytic enzymatic activity test, assessment of oxygenhemoglobin dissociation curve, and level of intermediates of the glycolytic pathway, such as 2,3-DPG, a definitive diagnosis in this case was established simply with the PCR mutation-specific test.
Because PK deficiency causes a distal metabolic block in the anaerobic glycolytic pathway, the proximal glycolytic metabolites, including 2,3-diphosphoglycerate 2,3-DPGtend to accumulate, while distal metabolites like ATP become depleted in erythrocytes.
Have a splenectomy scheduled during the study treatment period or have undergone splenectomy within 60 days prior to signing informed consent 4. Genetic test for pyruvate kinase deficiency of Basenjis. Arch Med Vet 44, Hematology PPT- anemia, thalasemia.
Have exposure to any investigational drug, device, deficiencia de piruvato cinasa procedure within 3 months prior to the first dose of study treatment 6. Bilirubin cholelithiasis and haemosiderosis in an anaemic pyruvate kinase-deficient Somali cat. The natural occurrence of hereditary blood disorders in animals provides a unique opportunity to study the biochemical and molecular pathogenesis of these diseases and to investigate possible therapeutic options Giger et alSewell et al PDFCreator, free and safe download.
Deficiencia de piruvato cinasa symptomatic cholelithiasis or cholecystitis. This Davies book on the cosmos one Leukopenia and thrombocytopenia was also noted and could be explained by the possible myelofibrosis, common in dogs with this disorder permission for a bone marrow biopsy was not received.
This case report describes the clinical course, laboratory alterations, molecular diagnosis, and management of the first PK-deficient Brazilian WHWT dog, suggesting the potential worldwide distribution of this disorder and that it possibly goes by under-diagnosed.
Hum Mol Genet 19, deficienccia The dog was treated presumptively with imidocarb dipropionate, doxycycline and iron supplements without clinical or hematological improvement and thus was referred.
The patient of this report was too debilitated and could not be effectively transfused because of a broad blood incompatibility to prepare the dog safely for this the surgical intervention.
However, the presentation of chronic, severe, highly regenerative, and Coomb’s negative hemolytic anemia in a young dog which is unresponsive to treatment should raise suspicion. Unstable extramedullary hematopoiesis that deficiencia de piruvato cinasa pose a risk of imminent neurologic compromise o.
Hereditary PK deficiency was suspected based upon the breed, early onset, chronic severely regenerative anemia and osteosclerosis.
Piruvato quinase – Wikipédia, a enciclopédia livre
The clinical chemistry profile showed mild hyperbilirubinemia 0. Treatment andlong-term follow-up of extrahepaticbiliary obstruction with bilirubin cholelithiasis in a Somali cat with pyruvate kinase anekia Health care pir for this disease Expert centres Diagnostic tests 40 Patient organisations 39 Orphan drug s 1.
Disease definition Hemolytic anemia due to red cell pyruvate kinase PK deficiency is a metabolic disorder characterized by a variable degree of chronic nonspherocytic hemolytic anemia.
Thus, PK-deficient patients and for that matter any animals with hemolytic anemia should not be supplemented with oral or parenteral iron. Treatment andlong-term follow-up of extrahepaticbiliary obstruction with bilirubin cholelithiasis in a Somali cat with pyruvate kinase deficiency: Pyruvate kinase deficiency causing hemolytic anemia with secondary hemo-chromatosis in Cairn terrier.
Inherited metabolic disease in companion animals: This was unfortunately done in this case, which emphasizes the importance of classifying the regenerative anemia into hemolytic versus blood loss anemia and reaching a definitive diagnosis.
No clinically practical specific treatment has yet been established for PK-deficient animals. On blood smear evaluation anisocytosis, marked polychromasia, and normoblastosis were present.
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Two homozygous UROS missense mutations cause the enzyme deficiency and porphyrin accumulation. The splenomegaly seen in this case could be explained because the spleen is the major site of RBC destruction, and thus splenectomy may slow the premature elimination of PK-deficient RBCs.
Feline congenital erythropoietic porphyria: Since this is the first case report of PK-deficiency from Brazil, it will be important to investigate the presence of asymptomatic carriers to avoid the spreading of this disorder Giger Inherited metabolic disease in companion animals: J Vet Intern Med 9,