Pregnancy‐associated immune‐mediated hemolytic anemia in a dog

Objective To describe the clinical presentation, diagnostic investigations, and outcome of a dog with pregnancy‐associated immune‐mediated hemolytic anemia. Case summary A 6‐year‐old, pregnant Bichon Frise was presented due to lethargy, inappetence, and progressive regenerative anemia with spherocyt...

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Veröffentlicht in:Journal of veterinary emergency and critical care (San Antonio, Tex. : 2000) Tex. : 2000), 2020-05, Vol.30 (3), p.308-311
Hauptverfasser: Fernandez, Yordan, Sharman, Mellora J., Seth, Mayank
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creator Fernandez, Yordan
Sharman, Mellora J.
Seth, Mayank
description Objective To describe the clinical presentation, diagnostic investigations, and outcome of a dog with pregnancy‐associated immune‐mediated hemolytic anemia. Case summary A 6‐year‐old, pregnant Bichon Frise was presented due to lethargy, inappetence, and progressive regenerative anemia with spherocytosis. The dog had been recently receiving ranitidine and amoxicillin/clavulanate. An in‐house saline agglutination test identified marked agglutination and a urinalysis identified hemoglobinuria. Thoracic and abdominal imaging, as well as infectious diseases testing, was unremarkable. The bitch started whelping shortly following hospitalization, and the anemia progressively resolved without any other intervention. Ranitidine and amoxicillin/clavulanate were re‐introduced within the following 2 months but the anemia did not reoccur. In light of these findings, a diagnosis of pregnancy‐associated immune‐mediated hemolytic anemia was made. New or unique information provided Pregnancy‐associated immune‐mediated hemolytic anemia should be considered in female dogs that develop severe hemolytic anemia during pregnancy and may resolve spontaneously following parturition.
doi_str_mv 10.1111/vec.12951
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subjects AIHA
autoimmune disease
canine
hemolysis
IMHA
title Pregnancy‐associated immune‐mediated hemolytic anemia in a dog
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