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Rizzo M, Pennisi M, Macrì F, Falcone A, Di Pietro S, Mhalhel K, Giudice E. Bilateral Global Nephrocalcinosis in a Uremic Puppy. Vet Sci 2024; 11:338. [PMID: 39195792 PMCID: PMC11359828 DOI: 10.3390/vetsci11080338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2024] [Revised: 07/24/2024] [Accepted: 07/24/2024] [Indexed: 08/29/2024] Open
Abstract
This study explores kidney disease in young dogs, focusing on early diagnosis, management, and the importance of staging for effective treatment. Highlighting mineral metabolism imbalances and complications such as nephrocalcinosis, the study presents a case of severe renal failure with uremic syndrome and bilateral nephrocalcinosis in a 50-day-old puppy. Despite intensive care, the puppy's condition deteriorated rapidly, leading to euthanasia. The study underscores the challenges in diagnosing and managing canine nephrocalcinosis in young animals. It emphasizes the need for further research to improve the understanding and treatment outcomes in such cases, ultimately enhancing the quality of life for animals suffering from this rare condition.
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Affiliation(s)
- Maria Rizzo
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy; (M.R.); (M.P.); (F.M.); (K.M.); (E.G.)
| | - Melissa Pennisi
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy; (M.R.); (M.P.); (F.M.); (K.M.); (E.G.)
| | - Francesco Macrì
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy; (M.R.); (M.P.); (F.M.); (K.M.); (E.G.)
| | - Annastella Falcone
- Veterinary Teaching Hospital, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy;
| | - Simona Di Pietro
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy; (M.R.); (M.P.); (F.M.); (K.M.); (E.G.)
| | - Kamel Mhalhel
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy; (M.R.); (M.P.); (F.M.); (K.M.); (E.G.)
| | - Elisabetta Giudice
- Department of Veterinary Sciences, University of Messina, Polo Universitario Annunziata, 98168 Messina, Italy; (M.R.); (M.P.); (F.M.); (K.M.); (E.G.)
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Guillaume E, Zacharopoulou M, Reynolds B, Aresu L, Lobjois L, Bleuart C, Bourgès-Abella N, Delverdier M, Lucas MN, Lavoué R, Gaide N. Additional Value of Second Harmonic Generation Microscopy in the Diagnosis of Feline Collagen Type III Glomerulopathy. J Comp Pathol 2021; 188:37-43. [PMID: 34686276 DOI: 10.1016/j.jcpa.2021.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 06/10/2021] [Accepted: 08/22/2021] [Indexed: 10/20/2022]
Abstract
A 1.5-year-old neutered female Domestic Shorthair cat was euthanized after the diagnosis of end-stage protein-losing nephropathy associated with the onset of nephrotic syndrome. At necropsy, both kidneys were diffusely pale and swollen with a granular cortex. Histologically, glomeruli had diffuse global mesangial and capillary wall expansion by homogeneous pale eosinophilic material. This material was Congo red negative, blue with Masson's trichrome stain, weakly positive with periodic acid-Schiff stain, bright red with Picrosirius red and birefringent under polarized light. Transmission electron microscopy and second harmonic generation (SHG) microscopy revealed mesangial and subendothelial collagen fibril deposition. Type III collagen deposition was confirmed by immunohistochemistry. This study provides an original and complete description of feline collagen type III glomerulopathy and emphasizes the possibility of directly diagnosing glomerular collagen deposition on unstained slides through SHG microscopy.
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Affiliation(s)
- Elise Guillaume
- Laboratory of Anatomic Pathology and Histology, École Nationale Vétérinaire de Toulouse (ENVT), University of Toulouse, Toulouse, France
| | - Maria Zacharopoulou
- Laboratory of Anatomic Pathology and Histology, École Nationale Vétérinaire de Toulouse (ENVT), University of Toulouse, Toulouse, France
| | | | - Luca Aresu
- Department of Veterinary Sciences, University of Torino, Grugliasco, Italy
| | - Lhorane Lobjois
- Cell Imaging Facility, Toulouse Institute for Infectious and Inflammatory Diseases, National Institute of Health and Medical Research (INSERM), Toulouse, France
| | - Céline Bleuart
- Laboratory of Anatomic Pathology and Histology, École Nationale Vétérinaire de Toulouse (ENVT), University of Toulouse, Toulouse, France
| | - Nathalie Bourgès-Abella
- Laboratory of Anatomic Pathology and Histology, École Nationale Vétérinaire de Toulouse (ENVT), University of Toulouse, Toulouse, France; Regional Center for Functional Exploration and Experimental Resources (CREFRE), Université de Toulouse, INSERM, Université Toulouse III Paul Sabatier (UPS), ENVT, Toulouse, France
| | - Maxence Delverdier
- Laboratory of Anatomic Pathology and Histology, École Nationale Vétérinaire de Toulouse (ENVT), University of Toulouse, Toulouse, France; Interactions Hôtes - Agents Pathogènes (IHAP), Université de Toulouse, National Research Institute for Food, Agriculture and the Environment (INRAE), ENVT, Toulouse, France
| | - Marie-Noëlle Lucas
- Laboratory of Anatomic Pathology and Histology, École Nationale Vétérinaire de Toulouse (ENVT), University of Toulouse, Toulouse, France
| | - Rachel Lavoué
- Digestive Health Research Institute (IRSD), Université de Toulouse, INSERM, INRAE, ENVT, UPS, Toulouse, France; Université de Toulouse, ENVT, Toulouse, France
| | - Nicolas Gaide
- Laboratory of Anatomic Pathology and Histology, École Nationale Vétérinaire de Toulouse (ENVT), University of Toulouse, Toulouse, France; Interactions Hôtes - Agents Pathogènes (IHAP), Université de Toulouse, National Research Institute for Food, Agriculture and the Environment (INRAE), ENVT, Toulouse, France.
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Guo Q, Liu L, Nie P, Luo P. Telmisartan alleviates collagen type III glomerulopathy: A case report with literature review. Exp Ther Med 2020; 20:140. [PMID: 33093878 PMCID: PMC7571403 DOI: 10.3892/etm.2020.9269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2019] [Accepted: 07/14/2020] [Indexed: 01/28/2023] Open
Abstract
Collagen type III is commonly detected in the renal interstitium and vasculature; however, it is absent in healthy glomeruli. Deposition of collagen type III in the glomerular mesangium and capillary basement membranes may arise in two rare diseases, namely collagen type III glomerulopathy (CG) and nail patella syndrome. CG is a rare glomerular disease with no specific treatment, although supportive measures for control of hypertension and edema may help to relieve symptoms. With progression to end-stage renal disease, patients with CG may come to require dialysis and/or renal transplantation. The present study reported on a 59-year-old male who was diagnosed with CG nephrotic syndrome by immunohistochemical and electron microscopic examination of biopsy material. To the best of our knowledge, this is the first case reported in northeastern China. The angiotensin II blocker telmisartan was successfully used to alleviate renal symptoms and a literature review was performed. The present case supports the use of telmisartan as a first choice of treatment for CG.
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Affiliation(s)
- Qiaoyan Guo
- Department of Nephrology, The Second Hospital of Jilin University, Changchun, Jilin 130041, P.R. China
| | - Lihua Liu
- Department of Nephrology, The Second Hospital of Jilin University, Changchun, Jilin 130041, P.R. China
| | - Ping Nie
- Department of Nephrology, The Second Hospital of Jilin University, Changchun, Jilin 130041, P.R. China
| | - Ping Luo
- Department of Nephrology, The Second Hospital of Jilin University, Changchun, Jilin 130041, P.R. China
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Hilbe M, Schnyder M, Hetzel U, Schuppisser C, Borel N. Collagenofibrotic glomerulopathy in a young cat. VETERINARY RECORD CASE REPORTS 2020. [DOI: 10.1136/vetreccr-2019-001056] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Affiliation(s)
- Monika Hilbe
- Institute of Veterinary PathologyUniversitat Zurich Vetsuisse‐FakultatZurichSwitzerland
| | - Manuela Schnyder
- Institute of ParasitologyUniversitat Zurich Vetsuisse‐FakultatZurichSwitzerland
| | - Udo Hetzel
- Institute of Veterinary PathologyUniversitat Zurich Vetsuisse‐FakultatZurichSwitzerland
| | - Carole Schuppisser
- Clinic for Small Animal Internal MedicineUniversitat Zurich Vetsuisse‐FakultatZurichSwitzerland
| | - Nicole Borel
- Institute of Veterinary PathologyUniversitat Zurich Vetsuisse‐FakultatZurichSwitzerland
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Davis KL, Burnum AL, Beck JA, Kirejczyk SGM, Miller MA, Sola MF, Brown CA. Diagnosis of Collagen Type III Glomerulopathy Using Picrosirius Red and PASH/Masson's Trichrome Stain. Vet Pathol 2020; 57:675-680. [PMID: 32880237 DOI: 10.1177/0300985820934111] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Canine collagen type III glomerulopathy (Col3GP) is a rare juvenile nephropathy in which irregular type III collagen fibrils and fibronectin accumulate in glomerular capillary walls and the mesangium. Necropsy findings were reviewed from 5 puppies diagnosed with Col3GP at 6 to 18 weeks of age. Histologically, with hematoxylin and eosin stain, the glomerular capillary walls and mesangium were diffusely and globally expanded by homogeneous pale eosinophilic material. Ultrastructurally, the subendothelial zone and mesangium were expanded by fibronectin and cross-banded collagen type III fibrils, diagnostic of Col3GP. Two additional stains were employed to identify the material within glomeruli as fibrillar collagen using light microscopy. In all 5 cases, the material was red with picrosirius red and birefringent under polarized light, and was blue with periodic acid-Schiff/hematoxylin/trichrome (PASH/TRI), thereby identifying it as fibrillar collagen. Based on these unique staining characteristics with picrosirius red and PASH/TRI, Col3GP may be reliably diagnosed with light microscopy alone.
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Affiliation(s)
- Katelin L Davis
- 311308Purdue University, West Lafayette, IN, USA.,National Cancer Institute, Comparative Biomedical Scientist Training Program, Bethesda, MD, USA
| | | | - Jessica A Beck
- 311308Purdue University, West Lafayette, IN, USA.,National Cancer Institute, Comparative Biomedical Scientist Training Program, Bethesda, MD, USA
| | | | | | - Mario F Sola
- 311308Purdue University, West Lafayette, IN, USA
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Rørtveit R, Reiten MR, Lingaas F, Sveri SB, Brech A, Espenes A, Jansen JH. Glomerular Collagen V Codeposition and Hepatic Perisinusoidal Collagen III Accumulation in Canine Collagen Type III Glomerulopathy. Vet Pathol 2014; 52:1134-41. [DOI: 10.1177/0300985814560237] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
Collagen type III glomerulopathy, also known as collagenofibrotic glomerulopathy, is a rare renal disease of unknown pathogenesis. The disease occurs in humans and animals and is characterized by massive glomerular accumulations of collagen type III. In the present study, we describe a Drever dog litter affected by an early onset variant of this glomerular disease, where 4 of 9 puppies developed renal failure within 50 days of age. Necropsy specimens of kidney from the 4 affected cases were studied by light microscopy, electron microscopy, and immunohistochemistry, and characteristic lesions compatible with a diagnosis of collagen type III glomerulopathy were found. In addition, 2 cases showed atypical epithelium in the collecting ducts of the medulla, so-called adenomatoid change. Immunohistochemistry of renal specimens from collagen type III glomerulopathy-affected dogs ( n = 10) originating from two different dog strains, the Drever dogs and a mixed-breed strain, demonstrated that the deposited glomerular collagen is composed of a mixture of collagen III and collagen V. The distribution of the collagen V corresponded to the localization of collagen III; however, differences in staining intensity showed that collagen type III is the dominating component. Immunohistochemistry for collagen III ( n = 9) and a transmission electron microscopic study ( n = 1) showed hepatic perisinusoidal collagen type III deposition in affected cases from both dog strains. This is the first report documenting glomerular accumulations of collagen type V and perisinusoidal liver collagen III deposition in canine collagen type III glomerulopathy.
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Affiliation(s)
- R. Rørtveit
- Faculty of Veterinary Medicine and Biosciences, Norwegian University of Life Sciences, Oslo/Ås, Norway
| | - M. R. Reiten
- Faculty of Veterinary Medicine and Biosciences, Norwegian University of Life Sciences, Oslo/Ås, Norway
| | - F. Lingaas
- Faculty of Veterinary Medicine and Biosciences, Norwegian University of Life Sciences, Oslo/Ås, Norway
| | | | - A. Brech
- Centre for Cancer Biomedicine, Faculty of Medicine, University of Oslo, Oslo, Norway
- Institute for Cancer Research, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway
| | - A. Espenes
- Faculty of Veterinary Medicine and Biosciences, Norwegian University of Life Sciences, Oslo/Ås, Norway
| | - J. H. Jansen
- Faculty of Veterinary Medicine and Biosciences, Norwegian University of Life Sciences, Oslo/Ås, Norway
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