A 3-year-old NM Yorkie was presented for evaluation of appetite, vomiting, and diarrhea. Hypoalbuminemia was present on laboratory testing.
A 3-year-old NM Yorkie was presented for evaluation of appetite, vomiting, and diarrhea. Hypoalbuminemia was present on laboratory testing.
Protein losing enteropathy.
Lymphangectasia type presentation with secondary ascites.
If the ascites is transudate based on abdominocentesis this would be most consistent with protein losing enteropathy and secondary albumin loss, but given that the bloodwork was taken 4 days prior to the sonogram my concern is that the albumin is likely lower than 1.7 at this point. Anything less than 1.5 would justify poor oncotic pressure and free fluid formation. Urinalysis and assessment for concurrent protein losing nephropathy would be recommended. Liver function may also be compromised adding to the albumin loss issue. Plasma transfusion, broad spectrum deworming, calcium supplementation, Purina HA or Royal Canin HP diet, Metronidazole and Prednisone therapy would all be indicated. However, corn oil testing and endoscopy would be ideal for a definitive diagnosis as well as mucosal, gastric and duodenal biopsies.
The gastrointestinal tract presented, diffusely thickened mucosa with mucosal striations. This is consistent with protein losing enteropathy and likely lymphangectasia. Anechoic free fluid is noted in moderate quantity.
The patient was euthanized.
Protein-losing nephropathy – IBD, lymphangectasia, neoplasia, foreign body, ulceration, dietary hypersensitivity
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