Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona

Detalhes bibliográficos
Autor(a) principal: MAGALHÃES, Nathalia Ianatoni Camargo Rodrigues
Data de Publicação: 2016
Tipo de documento: Tese
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UFRPE
Texto Completo: http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/7150
Resumo: Despite the beneficial effects of prednisolone little literature addresses the side effects of steroid therapy in cats. Computed tomography (CT) is a radiological method that has applicability in the diagnosis of changes in attenuation of hepatic parenchyma in Hounsfield units (HU). In humans it is considered important to the attenuation values in HU for the diagnosis and monitoring of patients with diseases that alter the density of the hepatic parenchyma, such as steatosis and glycogen storage. However, the lack and the divergence of previous studies limit their clinical application in cats. The objective of this study was to establish normal values of liver x-ray attenuation in healthy cats and verify possible changes in the liver by CT cats submitted to prednisolone. Therefore a study was initially performed to obtain average values of attenuation of the liver and spleen of adult-20 young healthy cats, and also establish a relationship between these organs of the radiodensity (L / S), as described in humans. The average attenuation value of the hepatic parenchyma in the experimental group was 52.81 ± 3.37 Hu, being discretely hyperattenuating liver compared to spleen. The ratio F / B was 1.03 ± 0.04 HU. Then a clinical trial was performed in four healthy cats which received prednisolone per orally at a dose of 3mg / kg for 60 consecutive days. In addition to CT, laboratory tests and histopathology were performed before starting prednisolone and end of the experiment. Laboratory tests found a statistically significant difference (p <0.05) between days 0 and 60 for alanine aminotransferase variables (ALT), aspartate aminotransferase (AST) and glucose. Histopathological findings of the final phase of the experiment was observed vacuolar degeneration, disarrangement of cords of hepatocytes, and hepatocytes necrosis signals. The CT data show increasing degree of attenuation of hepatic parenchyma from the thirtieth day of the corticosteroid prednisolone, a fact which persisted until the end of the experiment. This emphasizes the importance of monitoring cats that make use of prednisolone, even for a short period of time because it was possible to verify the existence of liver disease steroid in cats treated with corticosteroids in therapeutic dose lasting 60 days, observing increased liver x-ray attenuation, increased serum activity of ALT and AST, hyperglycemia, and histopathological changes as vacuolar degeneration and necrosis of hepatocytes.
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spelling COSTA, Fabiano SéllosLEITE, Jacinta Eufrásia BritoSILVA JÚNIOR, Valdemiro AmaroSANTOS, Jamile Prado dosSANTOS, Edna Michelly de Sáhttp://lattes.cnpq.br/9595638814578444MAGALHÃES, Nathalia Ianatoni Camargo Rodrigues2018-02-27T13:38:00Z2016-02-05MAGALHÃES, Nathalia Ianatoni Camargo Rodrigues. Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona. 2016. 94 f. Tese (Programa de Pós-Graduação em Ciência Veterinária) - Universidade Federal Rural de Pernambuco, Recife.http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/7150Despite the beneficial effects of prednisolone little literature addresses the side effects of steroid therapy in cats. Computed tomography (CT) is a radiological method that has applicability in the diagnosis of changes in attenuation of hepatic parenchyma in Hounsfield units (HU). In humans it is considered important to the attenuation values in HU for the diagnosis and monitoring of patients with diseases that alter the density of the hepatic parenchyma, such as steatosis and glycogen storage. However, the lack and the divergence of previous studies limit their clinical application in cats. The objective of this study was to establish normal values of liver x-ray attenuation in healthy cats and verify possible changes in the liver by CT cats submitted to prednisolone. Therefore a study was initially performed to obtain average values of attenuation of the liver and spleen of adult-20 young healthy cats, and also establish a relationship between these organs of the radiodensity (L / S), as described in humans. The average attenuation value of the hepatic parenchyma in the experimental group was 52.81 ± 3.37 Hu, being discretely hyperattenuating liver compared to spleen. The ratio F / B was 1.03 ± 0.04 HU. Then a clinical trial was performed in four healthy cats which received prednisolone per orally at a dose of 3mg / kg for 60 consecutive days. In addition to CT, laboratory tests and histopathology were performed before starting prednisolone and end of the experiment. Laboratory tests found a statistically significant difference (p <0.05) between days 0 and 60 for alanine aminotransferase variables (ALT), aspartate aminotransferase (AST) and glucose. Histopathological findings of the final phase of the experiment was observed vacuolar degeneration, disarrangement of cords of hepatocytes, and hepatocytes necrosis signals. The CT data show increasing degree of attenuation of hepatic parenchyma from the thirtieth day of the corticosteroid prednisolone, a fact which persisted until the end of the experiment. This emphasizes the importance of monitoring cats that make use of prednisolone, even for a short period of time because it was possible to verify the existence of liver disease steroid in cats treated with corticosteroids in therapeutic dose lasting 60 days, observing increased liver x-ray attenuation, increased serum activity of ALT and AST, hyperglycemia, and histopathological changes as vacuolar degeneration and necrosis of hepatocytes.Apesar dos efeitos benéficos da prednisolona a literatura pouco aborda os efeitos colaterais da corticoterapia em gatos. A tomografia computadorizada (TC) é um método radiológico que apresenta aplicabilidade no diagnóstico de alterações da atenuação do parênquima hepático em unidades Hounsfield (HU). Em humanos é considerado importante os valores da atenuação em HU para o diagnóstico e monitoramento de pacientes com enfermidades que alteram a densidade do parênquima hepático, tais como esteatose e glicogenose. No entanto, a carência e a divergência de estudos prévios limitam sua aplicação clínica em gatos. O objetivo deste estudo foi estabelecer valores de normalidade da atenuação radiográfica hepática em gatos hígidos e verificar possíveis alterações do fígado através da TC de gatos submetidos à prednisolona. Para isso foi realizado inicialmente um estudo para obter valores médios de atenuação do fígado e baço de 20 gatos adultos-jovens saudáveis, e também estabelecer uma relação da radiodensidade entre esses órgãos (F/B), como descrito em humanos. O valor médio de atenuação do parênquima hepático no grupo experimental foi 52,81 ± 3,37 HU, estando o fígado discretamente hiperatenuante quando comparado com o baço. A relação F/B foi de 1,03 ± 0,04 HU. Em seguida um ensaio clínico foi realizado em quatro gatos hígidos, os quais receberam prednisolona por via oral na dose de 3mg/kg pelo período de 60 dias consecutivos. Além da TC, foram realizados exames laboratoriais e histopatológico antes de iniciar a prednisolona e no final do experimento. Nos exames laboratoriais verificou-se diferença estatística significativa (p < 0,05) entre os dias 0 e 60 para as variáveis alanina aminotransferase (ALT), aspartato aminotransferase (AST) e glicose. Nos achados histopatológicos da fase final do experimento, observou-se degeneração vacuolar, desorganização dos cordões de hepatócitos, além de sinais de necrose de hepatócitos. Os dados da TC demonstram aumento do grau de atenuação do parênquima hepático a partir do trigésimo dia da corticoterapia com prednisolona, fato que persistiu até o final do experimento. Ressalta-se a importância do monitoramento de gatos que fazem uso da prednisolona, mesmo por curto período de tempo, pois foi possível constatar a existência de hepatopatia esteroidal em gatos tratados com corticoide em dose terapêutica com duração de 60 dias, observando-se aumento da atenuação radiográfica hepática, aumento da atividade sérica da ALT e AST, hiperglicemia, além de alterações histopatológicas como degeneração vacuolar e necrose de hepatócitos.Submitted by Mario BC (mario@bc.ufrpe.br) on 2018-02-27T13:38:00Z No. of bitstreams: 1 Nathalia Ianatoni Camargo Rodrigues Magalhães.pdf: 1372162 bytes, checksum: c50d2ba054279db5b9f4a4852797ac43 (MD5)Made available in DSpace on 2018-02-27T13:38:00Z (GMT). No. of bitstreams: 1 Nathalia Ianatoni Camargo Rodrigues Magalhães.pdf: 1372162 bytes, checksum: c50d2ba054279db5b9f4a4852797ac43 (MD5) Previous issue date: 2016-02-05Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfporUniversidade Federal Rural de PernambucoPrograma de Pós-Graduação em Ciência VeterináriaUFRPEBrasilDepartamento de Medicina VeterináriaTomografia computadorizadaGatoFígadoCorticoterapiaPrednisolonaCIENCIAS AGRARIAS::MEDICINA VETERINARIAAspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolonainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis-3061482854177903105600600600600-30202105637636167804536702642350173192075167498588264571info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFRPEinstname:Universidade Federal Rural de Pernambuco (UFRPE)instacron:UFRPEORIGINALNathalia Ianatoni Camargo Rodrigues Magalhães.pdfNathalia Ianatoni Camargo Rodrigues Magalhães.pdfapplication/pdf1372162http://www.tede2.ufrpe.br:8080/tede2/bitstream/tede2/7150/2/Nathalia+Ianatoni+Camargo+Rodrigues+Magalh%C3%A3es.pdfc50d2ba054279db5b9f4a4852797ac43MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://www.tede2.ufrpe.br:8080/tede2/bitstream/tede2/7150/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede2/71502018-02-27 10:38:00.344oai:tede2: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Biblioteca Digital de Teses e Dissertaçõeshttp://www.tede2.ufrpe.br:8080/tede/PUBhttp://www.tede2.ufrpe.br:8080/oai/requestbdtd@ufrpe.br ||bdtd@ufrpe.bropendoar:2024-05-28T12:35:16.630321Biblioteca Digital de Teses e Dissertações da UFRPE - Universidade Federal Rural de Pernambuco (UFRPE)false
dc.title.por.fl_str_mv Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona
title Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona
spellingShingle Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona
MAGALHÃES, Nathalia Ianatoni Camargo Rodrigues
Tomografia computadorizada
Gato
Fígado
Corticoterapia
Prednisolona
CIENCIAS AGRARIAS::MEDICINA VETERINARIA
title_short Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona
title_full Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona
title_fullStr Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona
title_full_unstemmed Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona
title_sort Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona
author MAGALHÃES, Nathalia Ianatoni Camargo Rodrigues
author_facet MAGALHÃES, Nathalia Ianatoni Camargo Rodrigues
author_role author
dc.contributor.advisor1.fl_str_mv COSTA, Fabiano Séllos
dc.contributor.referee1.fl_str_mv LEITE, Jacinta Eufrásia Brito
dc.contributor.referee2.fl_str_mv SILVA JÚNIOR, Valdemiro Amaro
dc.contributor.referee3.fl_str_mv SANTOS, Jamile Prado dos
dc.contributor.referee4.fl_str_mv SANTOS, Edna Michelly de Sá
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/9595638814578444
dc.contributor.author.fl_str_mv MAGALHÃES, Nathalia Ianatoni Camargo Rodrigues
contributor_str_mv COSTA, Fabiano Séllos
LEITE, Jacinta Eufrásia Brito
SILVA JÚNIOR, Valdemiro Amaro
SANTOS, Jamile Prado dos
SANTOS, Edna Michelly de Sá
dc.subject.por.fl_str_mv Tomografia computadorizada
Gato
Fígado
Corticoterapia
Prednisolona
topic Tomografia computadorizada
Gato
Fígado
Corticoterapia
Prednisolona
CIENCIAS AGRARIAS::MEDICINA VETERINARIA
dc.subject.cnpq.fl_str_mv CIENCIAS AGRARIAS::MEDICINA VETERINARIA
description Despite the beneficial effects of prednisolone little literature addresses the side effects of steroid therapy in cats. Computed tomography (CT) is a radiological method that has applicability in the diagnosis of changes in attenuation of hepatic parenchyma in Hounsfield units (HU). In humans it is considered important to the attenuation values in HU for the diagnosis and monitoring of patients with diseases that alter the density of the hepatic parenchyma, such as steatosis and glycogen storage. However, the lack and the divergence of previous studies limit their clinical application in cats. The objective of this study was to establish normal values of liver x-ray attenuation in healthy cats and verify possible changes in the liver by CT cats submitted to prednisolone. Therefore a study was initially performed to obtain average values of attenuation of the liver and spleen of adult-20 young healthy cats, and also establish a relationship between these organs of the radiodensity (L / S), as described in humans. The average attenuation value of the hepatic parenchyma in the experimental group was 52.81 ± 3.37 Hu, being discretely hyperattenuating liver compared to spleen. The ratio F / B was 1.03 ± 0.04 HU. Then a clinical trial was performed in four healthy cats which received prednisolone per orally at a dose of 3mg / kg for 60 consecutive days. In addition to CT, laboratory tests and histopathology were performed before starting prednisolone and end of the experiment. Laboratory tests found a statistically significant difference (p <0.05) between days 0 and 60 for alanine aminotransferase variables (ALT), aspartate aminotransferase (AST) and glucose. Histopathological findings of the final phase of the experiment was observed vacuolar degeneration, disarrangement of cords of hepatocytes, and hepatocytes necrosis signals. The CT data show increasing degree of attenuation of hepatic parenchyma from the thirtieth day of the corticosteroid prednisolone, a fact which persisted until the end of the experiment. This emphasizes the importance of monitoring cats that make use of prednisolone, even for a short period of time because it was possible to verify the existence of liver disease steroid in cats treated with corticosteroids in therapeutic dose lasting 60 days, observing increased liver x-ray attenuation, increased serum activity of ALT and AST, hyperglycemia, and histopathological changes as vacuolar degeneration and necrosis of hepatocytes.
publishDate 2016
dc.date.issued.fl_str_mv 2016-02-05
dc.date.accessioned.fl_str_mv 2018-02-27T13:38:00Z
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dc.identifier.citation.fl_str_mv MAGALHÃES, Nathalia Ianatoni Camargo Rodrigues. Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona. 2016. 94 f. Tese (Programa de Pós-Graduação em Ciência Veterinária) - Universidade Federal Rural de Pernambuco, Recife.
dc.identifier.uri.fl_str_mv http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/7150
identifier_str_mv MAGALHÃES, Nathalia Ianatoni Camargo Rodrigues. Aspectos clínicos, laboratoriais e tomográficos do fígado de gatos hígidos e submetidos à corticoterapia com prednisolona. 2016. 94 f. Tese (Programa de Pós-Graduação em Ciência Veterinária) - Universidade Federal Rural de Pernambuco, Recife.
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