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Puppies < 8 weeks old have proteinuria, glucosuria, and decreased urine concentration,
which has been considered normal, presumably due to immature renal function. A recent study
of voided urine from 118 apparently healthy, random-source puppies found mean urine specific
gravity to be significantly lower in puppies 0-3 weeks old when compared to those 4-24 weeks
old. Among the age groups studied, there was no difference in the frequency of positive protein
or occult blood on dipstick analysis, and none of the samples had positive glucose, ketone,
bilirubin, or urobilinogen reactions. In 41 samples, urine sediment was evaluated. Most common
sediment findings were epithelial cells (83%), white blood cells (44%), and crystals (37%).
Reference: Faulks and Lane, JAAHA 39:369-378, 2003.
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Clinical findings are summarized in 40 dogs with systemic hypersensitivity reactions
associated with administration of potentiated sulfonamides. Dogs ranged from 6 mos to 14
yrs of age, with a mean of 5.7 ± 3.2 yrs. Spayed female dogs were overrepresented (24 of
40; 60%), as were Samoyeds (3 of 40; 8%) and Miniature Schnauzers (5 of 40; 13%). Mean dosages
of potentiated sulfonamides were 47.0 ± 14.9 mg/kg/d (range, 23.481.4 mg/kg/d). Time
from the 1st administration of drug to onset of clinical signs of hypersensitivity ranged from
5 to 36 d, with a mean of 12.1 ± 5.9 d. No relationship was found between dosage or type
of sulfonamide given and time until onset of clinical signs. Fever (55% of dogs) and
thrombocytopenia (54%) were most commonly observed, followed by hepatopathy (28%).
Neutropenia, keratoconjunctivitis sicca (KCS), hemolytic anemia, arthropathy, uveitis, skin and
mucocutaneous lesions, proteinuria, facial palsy, suspected meningitis, hypothyroidism,
pancreatitis, facial edema, and pneumonitis also were observed in some patients. Of 39 dogs
with adequate follow-up, 30 (77%) recovered, whereas 8 (21%) either died or were euthanized,
and 1 dog recovered clinically but had persistently increased alanine aminotransferase (ALT)
activity. Dogs with hepatopathy generally had a significantly poorer prognosis (46% recovery)
than dogs without hepatopathy (89% recovery; p = 0.0035). Of dogs with thrombocytopenia, 63%
recovered, compared to 90% of those without thrombocytopenia (p = 0.042). Recovery was not
associated with sex, age, breed, or type of sulfonamide administered.
Reference: Trepanier et al, J Vet Int Med 17:647-652, 2003.
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