Sensitivity of serum markers for pancreatitis in dogs with macroscopic evidence of pancreatitis.

Veterinary Therapeutics Pub Date : 2008-01-01
Jorg M Steiner, Shelley Newman, Panagiotis Xenoulis, Kristen Woosley, Jan Suchodolski, David Williams, Linda Barton
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Abstract

Pancreatitis is recognized as an important and common problem in dogs, but diagnosis can be challenging. Recently, new assays for the measurement of trypsin-a1-proteinase inhibitor complexes and canine pancreatic lipase immunoreactivity (cPLI and Spec cPL) have been developed and analytically validated. This is the first report of a direct comparison of the sensitivity of these and other more traditional serum markers for the diagnosis of canine pancreatitis in a subset of dogs with this disease (i.e., dogs with both macroscopic and microscopic changes characteristic of pancreatitis). Serum cPLI and Spec cPL concentrations showed the highest sensitivity for the diagnosis of pancreatitis in this group of patients. Further studies will be required to compare the specificity of these serum markers and thus determine their overall clinical utility.

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有胰腺炎肉眼证据的犬血清胰腺炎标志物的敏感性。
胰腺炎被认为是狗的一个重要和常见的问题,但诊断可能具有挑战性。近年来,新的胰蛋白酶-a1蛋白酶抑制剂复合物和犬胰脂肪酶免疫反应性测定方法(cPLI和Spec cPL)已被开发和分析验证。这是第一个直接比较这些和其他更传统的血清标记物对诊断犬胰腺炎的敏感性的报告,这些犬患有这种疾病(即具有胰腺炎特征的宏观和微观变化的犬)。血清cPLI和Spec cPL浓度对本组患者胰腺炎的诊断敏感性最高。需要进一步的研究来比较这些血清标记物的特异性,从而确定它们的总体临床效用。
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