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KMID : 1094020170340060434
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Journal of Veterinary Clinics
2017 Volume.34 No. 6 p.434 ~ p.436
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Clinical Features in 9 Dogs with Immune-Mediated Polyarthritis
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Lim Seul-A
Song Kun-Ho
Seo Kyoung-Won
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Abstract
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Nine dogs with history of lameness and anorexia were presented. On physical examination, all dogs had gait abnormality and six dogs had high body temperature. Their clinical signs were mostly episodic, and only nonspecific symptoms were occasionally observed. Arthrocentesis was performed in all dogs, and immune-mediated polyarthritis (IMPA) was diagnosed. Definitive rheumatoid arthritis (RA) and systemic lupus erythematous (SLE) were diagnosed in one dogs, one each. Prednisolone (PDS) was chosen as the first-line therapy for all dogs, except for the one with RA. Most cases responded to PDS but some cases including those of SLE and RA were refractory to PDS. IMPA can be challenging to diagnose due to its vague symptom and is commonly implicated in ‘fever of unknown origin’. Therefore, clinicians should consider IMPA as a differential diagnosis when the patient has fever with systemic, non-specific signs, such as anorexia and depression, but does not respond to antibiotics.
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KEYWORD
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immune mediated polyarthritis, fever, arthrocentesis, lameness
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