case 2010-9 welcome to a parallel universe: veterinary medicine

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Case 2010-9 WELCOME WELCOME TO A TO A PARALLEL UNIVERSE: PARALLEL UNIVERSE: VETERINARY MEDICINE VETERINARY MEDICINE

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Page 1: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

Case 2010-9

WELCOME WELCOME

TO ATO A

PARALLEL UNIVERSE: PARALLEL UNIVERSE:

VETERINARY MEDICINEVETERINARY MEDICINE

Page 2: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

Some things in common, some things different

CLINICAL DISORDERS VETERINARY JOURNALS

Muscular dystrophy Veterinary Pathology

Rheumatoid arthritis Journal of Comparative Pathology

Motor neuron disease Veterinary Radiology & Ultrasound

Cardiomyopathy Veterinary Dermatology

Glaucoma Veterinary Ophthalmology

Pemphigus Equine Veterinary Journal

Polymyositis Feline Medicine and Surgery

Diabetes mellitus Acta Veterinaria Scandinavica

VETERINARY MEDICINE AND MEDICINEVETERINARY MEDICINE AND MEDICINE

Page 3: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

Case 2010-9CASE SUMMARY

domestic cats (most female) on a study

42/45 developed signs of spinal cord disease

(not an investigation of neurologic disease)

severity of signs varied

post mortem examinations:

(a)Institution A

(b)Cornell

Material submitted: 1. H&E section of the spinal cord

Page 4: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

2010-9

Page 5: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

2010-9

Page 6: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

LFBCEV GFAP

Page 7: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE
Page 8: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

BIELSCHOWSKY

Page 9: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

LECTIN sWGA IDENTIFIES THE MACROPHAGES

Page 10: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

TWO QUESTIONS

1. Morphologic diagnosis 2. Etiology

Page 11: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE
Page 12: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

TWO QUESTIONS

1. Morphologic diagnosis – spinal cord leukomyelopathy2. The etiology involves irradiation – what was irradiated?

Page 13: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

TWO QUESTIONS

1. Morphologic diagnosis – spinal cord leukomyelopathy2. The etiology involves irradiation – what was irradiated?

The food.

This feline leukomyelopathy is caused by the consumption ofdry food that has been irradiated.

Page 14: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

LEUKOMYELOPATHY (LM) IN CATSYear seen or Where Number of

published clinical cases

………………………………………………………………………….

1996 USA (Cornell) 42 (F)

2007 UK/Ireland 190 (M&F)

2009 USA (Wisconsin) ? (F)

2009 Australia 87 (M&F)

…………………………………………………………………………..

SUMMARY

Male and female cats

3 mo to 15 yr of age

Most domestic breed; few Siamese, Burmese, etc

(apparently not a common ancestry)

Page 15: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

WHY IRRADIATE FOOD?To prevent contamination of a specific-pathogen-free environment.To reduce microbiological contamination and so prevent spoilage and increase shelf life.

WHAT DOES IRRADIATION DO?Gamma irradiation results (among other effects) in the production ofions and free radicals which can kill or damage pathogenic organismsin food. This reduces the use of fungicides, other chemicals, etc.

Page 16: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

GAMMA IRRADIATION OF FOOD

CatRoutine: (one lab) 36.3-47.3 kGyExperimental LM: low dose 25.7-38.1 kGy

high dose 38.1-53.6 kGy

Man [40 years]Routine: 1-10 kGySome foods (eg dried herbs, spices) to 30kGy(Child et al. 2009)

Page 17: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

“INCUBATION PERIOD OF LM”First ingestion to onset of neurologic disease

Spontaneous cases: about 4 months

2.5 – 6 months

Experimental cases: 140 – 174 days (~4.5 – 6mo)

Page 18: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

Journal of the American Veterinary Medical Association 235:355, 2009.

Page 19: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

FINAL QUESTION

Are there implications

for other species?

Page 20: Case 2010-9 WELCOME TO A PARALLEL UNIVERSE: VETERINARY MEDICINE

THE ROYAL VETERINARYTHE ROYAL VETERINARYCOLLEGE, LONDON, UK COLLEGE, LONDON, UK