Premium
Autoimmune myasthenia gravis and dysautonomia in a dog
Author(s) -
Gajanayake I.,
Niessen S. J. M.,
Cherubini G. B.,
Diane Shelton G.
Publication year - 2008
Publication title -
journal of small animal practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 67
eISSN - 1748-5827
pISSN - 0022-4510
DOI - 10.1111/j.1748-5827.2008.00580.x
Subject(s) - medicine , dysautonomia , myasthenia gravis , anhidrosis , pathology , reflex , physical examination , dermatology , disease
A two‐year‐old male entire border collie dog was evaluated for a short history of mixed bowel diarrhoea, coughing, vomiting and stranguria. Physical examination revealed dyspnoea with increased ventral lung sounds and a flaccidly distended bladder. Neurological examination revealed poor pupillary light reflexes, an absent gag reflex and a poor anal tone. Thoracic radiography was consistent with megaoesophagus and aspiration pneumonia. Clinicopathological testing revealed an elevated muscular nicotinic acetylcholine receptor antibody titre. The dog was euthanased because of clinical deterioration. Cerebrospinal fluid (CSF) collected immediately post‐mortem revealed macrophagic pleocytosis. Post‐mortem histopathological examination was consistent with dysautonomia. This is the first report of coexisting autoimmune myasthenia gravis and dysautonomia in a non‐human species. The concomitant diseases may suggest a common immunopathological aetiology.