Enteropatía Inflamatoria Linfocítica Plasmocitica En Canino Responsiva A Esteroides.

Abstract

A German Shepherd with a history of intermittent chronic diarrhea and weight loss was seen by the owners for gastroenterology consultation due to lack of improvement with previously established treatments at other veterinary centers. The type of diarrhea was staged as mixed small and large intestinal diarrhea. A diagnostic protocol was initiated, including tests such as folic acid, cyanocobalamin, immunoreactive trypsin, and differentiated proteins. The results were found to be, Decreased in cyanocobalamin and protein levels. An upper gastrointestinal endoscopy and colonoscopy were performed, taking biopsies from different areas with macroscopic abnormalities. The histopathological results in the stomach were: moderately active chronic fibrosing gastritis with few figures of Helicobacter spp. Small intestine, middle third: marked chronic lymphoplasmacytic enteritis with mild lymphangiectasia. Marked chronic lymphoplasmacytic enteritis ileus with associated moderate lymphangiectasia; colon: mild chronic lymphoplasmacytic colitis. A protocol was initiated with prednisolone at an immunosuppressive dose that was gradually tapered, in combination with cyclosporine, cyanocobalamin supplementation, fortiflora and enterocronic. Her diet was changed exclusively to a hydrolyzed diet, showing complete remission of the signs. She presents crises when she consumes something different from her diet.