Severe renal failure in a dog resembling human focal segmental glomerulosclerosis.
A case of renal disease in a dog resembling human focal segmental glomerulosclerosis is presented. A kidney biopsy from this animal showed focal glomerular sclerosis, with variable distribution, affecting the perihilar and peripheral segments of the glomerular tuft. Non-sclerotic glomeruli were markedly enlarged. Interstitial fibrosis in association with tubular atrophy affected approximately 20% of the area of the biopsy. Immunofluorescence labelling showed immunoglobulin M deposits entrapped in segmental sclerotic areas and ultrastructural examination revealed segmental sclerosis and obliteration of capillaries, vacuolation of podocytes and diffuse effacement of foot processes. The dog was humanely destroyed 1 month later. At necropsy examination there was severe end-stage kidney disease with interstitial fibrosis involving more than 60% of the renal tissue. The clinical course and the microscopical, immunofluorescence and ultrastructural findings in this case have similarity to focal segmental glomerulosclerosis in man.
Universita degli Studi di Padova, Dipartimento di Sanità Pubblica, Patologia Comparata e Igiene Veterinaria, Facoltà di Medicina Veterinaria, Padova, Italy. luca.aresu@unipd.it
L
L
Aresu
R
R
Zanatta
L
L
Luciani
D
D
Trez
M
M
Castagnaro
D000818:Animals; D004283:Dog Diseases / Q000209:etiology / Q000473:pathology*; D004285:Dogs; D005260:Female; D005923:Glomerulosclerosis, Focal Segmental / Q000150:complications / Q000473:pathology / Q000662:veterinary*; D006801:Humans; D007668:Kidney / Q000473:pathology*; D051437:Renal Insufficiency / Q000209:etiology / Q000473:pathology / Q000662:veterinary*