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Thrombopathia
Engelse tekst
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Landseer
Thrombopathia
Landseers of
European Continental Type (ECT) have been described with a bleeding
disorder secondary to platelet dysfunction. Platelets are small,
circulating cytoplasmic fragments that are the first line of defense
in stopping the flow of blood from injured blood vessels. An
important aspect of platelet function is their ability to stick to
each other and plug holes in damaged vessels until blood clotting
and tissue repair can occur.
The platelets of
Landseers with thrombopathia are defective in their ability to stick
to each other due to the inability of the platelets to transmit
internal signals properly. Therefore, these dogs are at increased
risk for spontaneous hemorrhage
and they are also at
high risk for excessive hemorrhage as a result of injury or surgery.
Affected Landseers experience spontaneous mucosal type bleeding (including
gingival bleeding, particularly during permanent tooth eruption,
gastrointestinal bleeding, urinary tract bleeding, and nose bleeds),
and petechial and ecchymotic hemorrhages of the skin (bruising that
can range from small, pinpoint lesions to lesions as large as a
half-dollar or larger). Skin lesions on the abdomen can best be
observed where the hair tends to be thinner. Gastrointestinal
bleeding may or may not be apparent. If bleeding is severe, the
stools will appear black and tarry. Gastrointestinal bleeds can also
be slow and insidious (microscopic and not visibly apparent)
resulting in iron deficiency anemia with time.
Until recently,
the disease could not be diagnosed without bringing dogs to a
testing facility that specialized in studying platelet function
disorders in animals. Although these methods were accurate in
diagnosing affected dogs, the methods could not readily identify
carriers of the disease. Carrier detection is vital in controlling
spread of inherited defects and DNA testing is the only reliable
method of detecting these animals. During the summer of 2006, the
molecular basis for thrombopathia in Landseers was determined at
Auburn University. A mutation was found in a gene that encodes for a
signal transduction protein vitally important in transmitting
signals that result in normal platelet aggregation and granule
release. By using DNA testing, affected and carrier Landseers can
now be identified by simply submitting a blood sample through the
mail.
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