基于诊断方法的免疫组织化学和组织病理学诊断猫传染性腹膜炎1例

M. Ates, G. Akçakavak, Z. Çeli̇k, O. Ozdemir
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摘要

目的:本研究通过组织病理学和免疫组化(IHC)对一只6月龄雄性家短毛猫的传染性腹膜炎(FIP)进行了鉴定。尸检显示腹腔内有大量黄色液体,肝、肠浆膜和腹膜可见颗粒状纤维性渗出物。镜下可见肠浆膜层中小血管周围有以巨噬细胞、淋巴细胞和浆细胞为主的炎症细胞浸润和纤维蛋白渗出。肝内可见许多大小不等的肉芽肿灶,伴或不伴坏死,向实质扩散。在甲基绿吡咯蛋白染色中,发现浆细胞是病变中存在的大多数炎症细胞。在免疫组化染色中,特异抗体在肠浆膜肉芽肿病变中获得免疫阳性,而在固有层单个核细胞的细胞质中较少出现。肝内巨噬细胞胞浆及肉芽肿周围均可见免疫反应性。结论是,当所有发现一起评估时,本病例的FIP可能开始为干燥形式,并在终末期转为潮湿形式。
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Diagnosis of feline infectious peritonitis by immunohistochemistry and histopathology methods: A case report based on diagnostic approach
Aim: In this study the case of feline infectious peritonitis (FIP) has been identified as histopathological and immunohistochemical (IHC) in a 6-month-old male domestic shorthair cat. In necropsy, the abdominal cavity contained a significant volume of yellow liquid and granular fibrinous exudate was seen on the liver, serosa of intestines, and peritoneum. Microscopically, inflammatory cell infiltration and fibrin exudation, consisting mainly of macrophage, lymphocyte and plasma cells, were determined around small and medium-sized ves - sels in the tunica serosa layer of the intestines. Many granulomatous foci of various sizes, with or without necrosis, were found in the liver, spread to the parenchyma. In methyl green pyronin staining, plasma cells were found to be the majority of the inflammatory cells pres - ent in lesions. In IHC staining with specific antibodies against the agent, immunopositivity was obtained in granulomatous lesions in the serosa layer of the intestines and less frequently in the cytoplasm of mononuclear cells in the lamina propria. Immunoreactivity was detected in the cytoplasm of macrophages in the liver, around both pyrogranulomas and granulomas. It was concluded that this case of FIP, when all findings are evaluated together, may have started as a dry form, and turned into a wet form in the terminal period.
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