{"id":959,"date":"2019-01-03T15:34:35","date_gmt":"2019-01-03T14:34:35","guid":{"rendered":"https:\/\/american-cocker-spaniel.fr\/?page_id=959"},"modified":"2019-06-05T21:42:48","modified_gmt":"2019-06-05T19:42:48","slug":"sante-anemie-hemolytique-a-mediation-immune","status":"publish","type":"page","link":"https:\/\/american-cocker-spaniel.fr\/en\/sante-anemie-hemolytique-a-mediation-immune","title":{"rendered":"Immune-Medi\u00adat\u00aded Hemolyt\u00adic Ane\u00admia (<span class=\"caps\">IMHA<\/span>)"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"959\" class=\"elementor elementor-959\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4ce546c8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4ce546c8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7015c74d\" data-id=\"7015c74d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1183d08c elementor-drop-cap-yes elementor-drop-cap-view-default elementor-widget elementor-widget-text-editor\" data-id=\"1183d08c\" data-element_type=\"widget\" data-settings=\"{&quot;drop_cap&quot;:&quot;yes&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t\t<!-- wp:paragraph -->\n<p style=\"text-align: justify;\">L\u2019an\u00e9mie h\u00e9moly\u00adtique auto-immune (<span class=\"caps\">AHAI<\/span>) est une mal\u00adadie du sang qui se traduit par une baisse nor\u00admale du nom\u00adbre de glob\u00adules rouges (aus\u00adsi appel\u00e9s h\u00e9maties) et du taux d\u2019h\u00e9moglobine, ce qu\u2019on appelle une an\u00e9mie. Cette mal\u00adadie existe chez l\u2019humain; chez le chien et le chat, on par\u00adle plus volon\u00adtiers d\u2019an\u00e9mie h\u00e9moly\u00adtique \u00e0 m\u00e9di\u00ada\u00adtion immune (<span class=\"caps\">AHMI<\/span>).<\/p>\n<!-- \/wp:paragraph --><!-- wp:image {\"id\":960,\"align\":\"center\",\"width\":213,\"height\":161} -->\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img loading=\"lazy\" class=\"wp-image-960\" src=\"https:\/\/american-cocker-spaniel.fr\/wp-content\/uploads\/2019\/01\/1.jpg\" alt width=\"213\" height=\"161\"><\/figure>\n<\/div>\n<!-- \/wp:image --><!-- wp:image {\"id\":961,\"align\":\"center\"} -->\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" width=\"216\" height=\"142\" class=\"wp-image-961\" src=\"https:\/\/american-cocker-spaniel.fr\/wp-content\/uploads\/2019\/01\/2.jpg\" alt>\n<figcaption><em>H\u00e9matie&nbsp;de&nbsp;chien.&nbsp;<\/em><\/figcaption>\n<\/figure>\n<\/div>\n<!-- \/wp:image --><!-- wp:paragraph -->\n<p style=\"text-align: justify;\">La dur\u00e9e de vie des glob\u00adules rouges (h\u00e9maties) en cir\u00adcu\u00adla\u00adtion est nor\u00admale\u00adment de 120 jours; lors d\u2019<span class=\"caps\">AHMI<\/span>, des anti\u00adcorps sont pr\u00e9sents dans le sang. Les anti\u00adcorps sont des sub\u00adstances fab\u00adriqu\u00e9es par le sys\u00adt\u00e8me immu\u00adni\u00adtaire de d\u00e9fense de l\u2019organisme. Ces anti\u00adcorps sont des \u00abauto-anti\u00adcorps\u00bb car ils sont dirig\u00e9s con\u00adtre les pro\u00adpres glob\u00adules rouges du malade; il s\u2019agit donc \u00abd\u2019auto-anticorps\u00bb. Les h\u00e9maties sont ain\u00adsi d\u00e9tru\u00adites. On par\u00adle d\u2019an\u00e9mie h\u00e9moly\u00adtique \u00ab auto-immune \u00bb, ou \u00e0 m\u00e9di\u00ada\u00adtion immune.<\/p>\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\n<p style=\"text-align: justify;\">La mal\u00adadie peut attein\u00addre des chiens et chats de tout \u00e2ge, mais cer\u00adtaines pr\u00e9dis\u00adpo\u00adsi\u00adtions sont pour\u00adtant not\u00e9es. L\u2019<span class=\"caps\">AHMI<\/span> est plus fr\u00e9quem\u00adment ren\u00adcon\u00adtr\u00e9e chez les chiens que chez les chats et chez les ani\u00admaux d\u2019\u00e2ge moyen (dans dif\u00adf\u00e9rentes \u00e9tudes, sont retrou\u00adv\u00e9s des chiens \u00e2g\u00e9s de 1 \u00e0 13 ans \u2014 m\u00e9di\u00adane \u00e0 six ans), un peu plus fr\u00e9quem\u00adment chez les femelles.<\/p>\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\n<p style=\"text-align: justify;\">Cer\u00adtaines races, comme les&nbsp;<strong>Cock\u00aders<\/strong>, les Labradors (moins les Gold\u00aden Retriev\u00aders), les Bichons fris\u00e9s, les Canich\u00ades, les Spitz finnois, les Rot\u00adtweil\u00aders, les Bob\u00adtails, les Set\u00adters irlandais, les Pin\u00adsch\u00ader nains et les Col\u00adlies sem\u00adblent pr\u00e9dispos\u00e9es.<\/p>\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\n<p style=\"text-align: justify;\">Cer\u00adtaines \u00e9tudes pointent une aug\u00admen\u00adta\u00adtion de l\u2019<span class=\"caps\">AHMI<\/span> au print\u00ademps, sans d\u00e9ter\u00admin\u00ader les \u00e9l\u00e9\u00adments favorisant cette vari\u00ada\u00adtion saisonni\u00e8re.<\/p>\n<!-- \/wp:paragraph --><!-- wp:heading -->\n<h4 style=\"text-align: justify;\">Il existe diff\u00e9rents types d\u2019<span class=\"caps\">AHMI<\/span>:<\/h4>\n<!-- \/wp:heading --><!-- wp:paragraph -->\n<p style=\"text-align: justify;\">Selon le type et les car\u00adac\u00adt\u00e9ris\u00adtiques des auto-anti\u00adcorps en cause, on dis\u00adtingue deux types d\u2019<span class=\"caps\">AHMI<\/span> :<\/p>\n<ul style=\"margin-top: -20px;\">\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: -20px;\">\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: -20px;\">\n<li style=\"text-align: justify;\">les <span class=\"caps\">AHMI<\/span> \u00e0 auto-anti\u00adcorps dits \u00abchauds\u00bb, act\u00adifs \u00e0 une tem\u00adp\u00e9ra\u00adture com\u00adprise entre 37 et 40\u00b0C. Elles sont les plus fr\u00e9quentes (env\u00adi\u00adron 70&nbsp;% des&nbsp;cas)&nbsp;;<\/li>\n<li>les <span class=\"caps\">AHMI<\/span> \u00e0 auto-anti\u00adcorps dits \u00abfroids\u00bb, act\u00adifs \u00e0 des tem\u00adp\u00e9ra\u00adtures inf\u00e9rieures \u00e0 30\u00b0C. La \u00abmal\u00adadie chronique des agglu\u00adtinines froides\u00bb (<span class=\"caps\">MAF<\/span>) est la forme la plus fr\u00e9quente d\u2019<span class=\"caps\">AHMI<\/span> \u00e0 auto-anti\u00adcorps \u00ab froids&nbsp;\u00bb.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>Les caus\u00ades d\u2019<span class=\"caps\">AHMI<\/span>: <!-- \/wp:heading --><!-- wp:paragraph --><\/strong><\/p>\n<p style=\"text-align: justify;\">Le sys\u00adt\u00e8me immu\u00adni\u00adtaire, dont la fonc\u00adtion essen\u00adtielle est nor\u00admale\u00adment d\u2019assurer la d\u00e9fense de l\u2019organisme vis-\u00e0-vis des agres\u00adsions ext\u00e9rieures (bac\u00adt\u00e9ries, virus\u2026), dys\u00adfonc\u00adtionne et pro\u00adduit de fa\u00e7on anor\u00admale des anti\u00adcorps dirig\u00e9s con\u00adtre les h\u00e9maties.<\/p>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:paragraph --><!-- wp:paragraph --><\/strong><\/p>\n<p style=\"text-align: justify;\">Les caus\u00ades exactes de l\u2019<span class=\"caps\">AHMI<\/span> sont sou\u00advent inconnues.<\/p>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:paragraph --><!-- wp:paragraph --><\/strong><\/p>\n<p style=\"text-align: justify;\">N\u00e9an\u00admoins, cer\u00adtains fac\u00adteurs d\u00e9clen\u00adchants peu\u00advent par\u00adfois \u00eatre identifi\u00e9s&nbsp;:<\/p>\n<ul style=\"margin-top: -20px;\">\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: -20px;\">\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: -20px;\">\n<li style=\"text-align: justify;\">une infec\u00adtion virale<\/li>\n<li>la prise de cer\u00adtains m\u00e9dica\u00adments (alpha-m\u00e9thyl-dopa..)<\/li>\n<li>l\u2019association \u00e0 une autre mal\u00adadie auto-immune (un lupus par exem\u00adple) ou encore \u00e0 la mul\u00adti\u00adpli\u00adca\u00adtion anor\u00admale de cel\u00adlules des gan\u00adglions lym\u00adpha\u00adtiques appel\u00e9e lymphome.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>L\u2019an\u00e9mie h\u00e9moly\u00adtique \u00e0 m\u00e9di\u00ada\u00adtion immune n\u2019est pas contagieuse.<\/p>\n<p style=\"text-align: justify;\"><strong>Cer\u00adtaines sont h\u00e9r\u00e9ditaires&nbsp;:<\/strong><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: -20px;\">\n<li style=\"text-align: justify;\">Anom\u00adalie de l\u2019h\u00e8me et de l\u2019h\u00e9moglobine<\/li>\n<li>Anom\u00adalies de la mem\u00adbrane des h\u00e9maties (<em>Schnau\u00adzer Nain, Soma\u00adli, Abyssin<\/em>)<\/li>\n<li>D\u00e9ficit enzy\u00adma\u00adtique : <ul>\n<li>D\u00e9fi\u00adcience en pyru\u00advate kinase (<em>Basen\u00adji, West High\u00adland white ter\u00adri\u00ader<\/em>)<\/li>\n<\/ul>\n<ul>\n<li>D\u00e9fi\u00adcience en phos\u00adpho\u00adfruc\u00adtok\u00adi\u00adnase (<em>\u00c9pag\u00adneuls anglais,&nbsp;<strong>Cock\u00aders*<\/strong><\/em>)<\/li>\n<\/ul>\n<\/li>\n<li>An\u00e9mie h\u00e9moly\u00adtique non sph\u00e9ro\u00adcy\u00adtaire (<em>Caniche, Bea\u00adgle<\/em>)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:heading --><\/p>\n<h2 style=\"text-align: justify;\">Les signes d\u2019<span class=\"caps\">AHMI<\/span> :<\/h2>\n<p><!-- \/wp:heading --><!-- wp:paragraph --><\/p>\n<p style=\"text-align: justify;\">Cette mal\u00adadie provoque deux grands types de manifestations&nbsp;:<\/p>\n<ul style=\"margin-top: -20px;\">\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: -20px;\">\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: -20px;\">\n<li style=\"text-align: justify;\">des man\u00adi\u00adfes\u00adta\u00adtions li\u00e9es \u00e0 la baisse de la quan\u00adtit\u00e9 de glob\u00adules rouges dans le sang (an\u00e9mie) : un essouf\u00adfle\u00adment pour des efforts peu impor\u00adtants, une p\u00e2leur des muqueuses, une fatigue g\u00e9n\u00e9rale.<\/li>\n<li>des man\u00adi\u00adfes\u00adta\u00adtions li\u00e9es \u00e0 la destruc\u00adtion accrue des glob\u00adules rouges (h\u00e9mol\u00adyse) avec une col\u00adoration jaun\u00e2tre de la peau et\/ou des con\u00adjonc\u00adtives (blanc de l\u2019\u0153il), appel\u00e9e ict\u00e8re ou jau\u00adnisse, et des urines qui peu\u00advent par\u00adfois \u00eatre tr\u00e8s fon\u00adc\u00e9es (rouge\/brun). Vom\u00adisse\u00adments, diar\u00adrh\u00e9es, par\u00adfois aug\u00admen\u00adta\u00adtion du vol\u00adume des bois\u00adsons et des urines.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>Les anti\u00adcorps anor\u00admaux (auto-anti\u00adcorps) provo\u00adquent la destruc\u00adtion des glob\u00adules rouges, l\u2019h\u00e9molyse.<\/strong><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p style=\"text-align: justify;\">L\u2019h\u00e9moglobine, qui est une pro\u00adt\u00e9ine con\u00adtenue dans les glob\u00adules rouges et qui dis\u00adtribue l\u2019oxyg\u00e8ne \u00e0 tout l\u2019organisme, se retrou\u00adve alors d\u00e9tru\u00adite. C\u2019est cette destruc\u00adtion qui explique \u00e0 la fois l\u2019an\u00e9mie (sans h\u00e9mo\u00adglo\u00adbine, le sang n\u00e9 peut plus trans\u00adporter l\u2019oxyg\u00e8ne, ce qui provoque les man\u00adi\u00adfes\u00adta\u00adtions d\u00e9crites plus haut) mais aus\u00adsi la jau\u00adnisse (ict\u00e8re) et la col\u00adoration fon\u00adc\u00e9e des urines. En effet, l\u2019h\u00e9moglobine est rapi\u00adde\u00adment trans\u00adfor\u00adm\u00e9e en biliru\u00adbine, qui est un pig\u00adment brun-jaune. C\u2019est cette biliru\u00adbine libre qui,en s\u2019accumulant dans le sang, va col\u00ador\u00ader la peau et les yeux et \u00eatre respon\u00ads\u00adable de la jaunisse.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p style=\"text-align: justify;\">L\u2019h\u00e9molyse \u00e9puise les reins et l\u2019animal d\u00e9veloppe une insuff\u00adi\u00adsance r\u00e9nale; des tox\u00adiques dan\u00adgereux s\u2019accumulent.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p style=\"text-align: justify;\">Par\u00adfois, s\u2019associe une destruc\u00adtion des pla\u00adque\u00adttes san\u00adguines (throm\u00adbo\u00adcy\u00adtop\u00e9nie) qui peut se traduire par des saigne\u00adments au niveau des muqueuses.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:heading --><\/p>\n<h2 style=\"text-align: justify;\">Le diagnostic d\u2019<span class=\"caps\">AHMI<\/span>:<\/h2>\n<p><!-- \/wp:heading --><!-- wp:paragraph --><\/p>\n<p style=\"text-align: justify;\">La prise de sang met en \u00e9vidence&nbsp;:<\/p>\n<ul style=\"margin-top: -20px;\">\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: -20px;\">\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: -20px;\">\n<li style=\"text-align: justify;\">l\u2019an\u00e9mie : baisse du taux d\u2019h\u00e9moglobine dans le&nbsp;sang<\/li>\n<li>l\u2019h\u00e9molyse : destruc\u00adtion des glob\u00adules rouges (aug\u00admen\u00adta\u00adtion de l\u2019haptoglobine, du <span class=\"caps\">LDH<\/span>\u2026 pr\u00e9sence de schizo\u00adcytes : r\u00e9sidus de glob\u00adules rouges d\u00e9tru\u00adits) et pr\u00e9sence de nom\u00adbreux r\u00e9tic\u00adu\u00adlo\u00adcytes : la moelle osseuse fonc\u00adtionne nor\u00admale\u00adment et pro\u00adduit un max\u00adi\u00admum de nou\u00adveaux glob\u00adules rouges)<\/li>\n<li>test de Coombs direct posi\u00adtif : mise en \u00e9vi\u00addence d\u2019auto-anticorps dirig\u00e9s con\u00adtre les pro\u00adpres glob\u00adules rouges<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong> <!-- \/wp:list --><!-- wp:image {\"id\":962,\"align\":\"center\"} --><\/strong><\/p>\n<div class=\"wp-block-image\" style=\"text-align: justify;\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" width=\"171\" height=\"112\" class=\"wp-image-962\" src=\"https:\/\/american-cocker-spaniel.fr\/wp-content\/uploads\/2019\/01\/3.jpg\" alt>\n<figcaption><em>Schizo\u00adcyte de&nbsp;chien<\/em><\/figcaption>\n<\/figure>\n<\/div>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:image --><!-- wp:image {\"id\":963,\"align\":\"center\"} --><\/strong><\/p>\n<div class=\"wp-block-image\" style=\"text-align: justify;\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" width=\"272\" height=\"113\" class=\"wp-image-963\" src=\"https:\/\/american-cocker-spaniel.fr\/wp-content\/uploads\/2019\/01\/4.jpg\" alt>\n<figcaption><em>Test de Coombs direct positif<\/em><\/figcaption>\n<\/figure>\n<\/div>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:image --><!-- wp:heading --><\/strong><\/p>\n<h2 style=\"text-align: justify;\">Le traitement de l\u2019<span class=\"caps\">AHMI<\/span>:<\/h2>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:heading --><!-- wp:paragraph --><\/strong><\/p>\n<p style=\"text-align: justify;\">Dans le cas des <span class=\"caps\">AHMI<\/span> \u00e0 auto-anti\u00adcorps \u00abchauds\u00bb ce traite\u00adment est qua\u00adsi\u00adment tou\u00adjours n\u00e9ces\u00adsaire. Celui-ci repose avant tout sur des m\u00e9dica\u00adments, les cor\u00adti\u00adco\u00efdes (cor\u00adti\u00adsone ou ses d\u00e9riv\u00e9s). En moyenne, 80% des malades r\u00e9pon\u00addent favor\u00adable\u00adment au traite\u00adment par cor\u00adti\u00adco\u00efdes. Sinon, d\u2019autres traite\u00adments (immuno\u00adsup\u00adpresseurs) peu\u00advent \u00eatre indiqu\u00e9s selon les&nbsp;cas.<\/p>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:paragraph --><!-- wp:paragraph --><\/strong><\/p>\n<p style=\"text-align: justify;\">Des trans\u00adfu\u00adsions san\u00adguines peu\u00advent \u00e9gale\u00adment \u00eatre n\u00e9ces\u00adsaires pour \u00abpass\u00ader un cap\u00bb au d\u00e9but, lorsque l\u2019an\u00e9mie est impor\u00adtante et mal tol\u00e9r\u00e9e, en atten\u00addant l\u2019efficacit\u00e9 du traite\u00adment m\u00e9dicamenteux.<\/p>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:paragraph --><!-- wp:paragraph --><\/strong><\/p>\n<p style=\"text-align: justify;\">Dans tous les types d\u2019<span class=\"caps\">AHMI<\/span>, la prise r\u00e9guli\u00e8re de \u00abfolates\u00bb (vit\u00ada\u00admine <span class=\"caps\">B9<\/span>) est utile pour faciliter la fab\u00adri\u00adca\u00adtion plus rapi\u00adde des glob\u00adules rouges par la moelle osseuse.<\/p>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:paragraph --><!-- wp:paragraph --><\/strong><\/p>\n<p style=\"text-align: justify;\">Si l\u2019<span class=\"caps\">AHMI<\/span> est li\u00e9e \u00e0 une cause, le traite\u00adment de la cause est \u00e9videm\u00adment primordial.<\/p>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:paragraph --><!-- wp:paragraph --><\/strong><\/p>\n<p style=\"text-align: justify;\">Selon les \u00e9tudes, les taux de survie des chiens sont extr\u00eame\u00adment vari\u00adables (mor\u00adtal\u00adit\u00e9 de 30% \u00e0 100% selon les cen\u00adtres). On note n\u00e9an\u00admoins deux pro\u00adfils de survie&nbsp;:<\/p>\n<ul style=\"margin-top: -20px;\">\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: -20px;\">\n<li style=\"list-style-type: none;\">\n<ul style=\"margin-top: -20px;\">\n<li style=\"text-align: justify;\">cer\u00adtains chiens d\u00e9c\u00e8\u00addent en un&nbsp;mois<\/li>\n<li>les chiens qui sur\u00advivent au-del\u00e0 du deux\u00adi\u00e8me mois ont une dur\u00e9e moyenne de survie de presque trois&nbsp;ans.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><strong>La spl\u00e9nec\u00adtomie est par\u00adfois recom\u00admand\u00e9e. Il s\u2019agit d\u2019une inter\u00adven\u00adtion chirur\u00adgi\u00adcale lourde (abla\u00adtion de la rate) et dan\u00adgereuse, impli\u00adquant une hos\u00adpi\u00adtal\u00adi\u00adsa\u00adtion et des douleurs, dont le reten\u00adtisse\u00adment est loin d\u2019\u00eatre n\u00e9gligeable.<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:paragraph --><!-- wp:paragraph --><\/strong><\/p>\n<p style=\"text-align: justify;\">Le pronos\u00adtic des chiens est plus favor\u00adable s\u2019ils sont jeunes.<\/p>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:paragraph --><!-- wp:paragraph --><\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Bib\u00adli\u00adogra\u00adphie:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:paragraph --><!-- wp:list {\"ordered\":true} --><\/strong><\/p>\n<ol style=\"text-align: justify;\">\n<li style=\"text-align: left;\"><strong>Les an\u00e9mies et les throm\u00adbop\u00e9nies auto-immunes chez les car\u00adni\u00advores domes\u00adtiques&nbsp;<\/strong>\u2013&nbsp;Th\u00e8se pour le doc\u00adtor\u00adat v\u00e9t\u00e9ri\u00adnaire, E. Donzel, Fac\u00adult\u00e9 de M\u00e9decine de Cr\u00e9teil,2007<\/li>\n<li style=\"text-align: left;\"><strong>L\u2019an\u00e9mie h\u00e9moly\u00adtique auto-immune, Ency\u00adclop\u00e9die Orphanet Grand Pub\u00adlic<\/strong>, Ao\u00fbt 2009-<a href=\"http:\/\/www.orpha.net\/data\/patho\/Pub\/fr\/AnemieHemolytiqueAutoImmune-FRfrPub13392.pdf\">www.orpha.net\/data\/patho\/Pub\/fr\/AnemieHemolytiqueAutoImmune-FRfrPub13392.pdf<\/a><\/li>\n<li style=\"text-align: left;\">Gar\u00adden <span class=\"caps\">OA<\/span> (2010). <strong>Immune-medi\u00adat\u00aded dis\u00adeases and ther\u00ada\u00adpies<\/strong>, Text\u00adbook of Vet\u00aderi\u00adnary Inter\u00adnal Med\u00adi\u00adcine, Sev\u00adenth edi\u00adtion (Ettinger <span class=\"caps\">SJ<\/span> et Feld\u00adman <span class=\"caps\">EC<\/span>), Saun\u00adders-Else\u00advi\u00ader, St. Louis,729\u201343.<\/li>\n<li style=\"text-align: left;\">Hel\u00admond <span class=\"caps\">SE<\/span> et al (2010). <strong>Treat\u00adment of immune-medi\u00adat\u00aded hemolyt\u00adic ane\u00admia with indi\u00advid\u00adu\u00adal\u00adly adjust\u00aded heparin dos\u00ading in dogs<\/strong>,&nbsp;J Vet Intern Med&nbsp;24 :597\u2013605.<\/li>\n<li style=\"text-align: left;\"><strong>An\u00e9mie h\u00e9moly\u00adtique \u00e0 m\u00e9di\u00ada\u00adtion immu\u00adni\u00adtaire (<span class=\"caps\">AHMI<\/span>) chez le chien ou le chat&nbsp;<\/strong>-&nbsp;<a href=\"http:\/\/www.vet24.fr\/anemie-hemolytique-auto-immune-chien-chat_245.aspx?me=265\">http:\/\/www.vet24.fr\/anemie-hemolytique-auto-immune-chien-chat_245.aspx?me=265<\/a><\/li>\n<li style=\"text-align: left;\">Miller E (2009) <strong>Immune-medi\u00adat\u00aded haemolyt\u00adic ane\u00admia<\/strong>. Kirk\u2019s Cur\u00adrent Vet\u00aderi\u00adnary Ther\u00ada\u00adpy <span class=\"caps\">XIV<\/span> \u2014 edi\u00adtors <span class=\"caps\">JD<\/span> Bonagu\u00adra <span class=\"amp\">&amp;<\/span> <span class=\"caps\">DC<\/span> Twedt, Saun\u00adders Else\u00advi\u00ader, St Louis pp&nbsp;266<\/li>\n<li style=\"text-align: left;\">Threlfall <span class=\"caps\">AJ<\/span> et coll: <strong>Analy\u00adsis of <span class=\"caps\">DLA-DQB1<\/span> and poly\u00admor\u00adphisms in <span class=\"caps\">CTLA4<\/span>&nbsp;in Cock\u00ader spaniels affect\u00aded with immune-medi\u00adat\u00aded haemolyt\u00adic anaemia<\/strong>.&nbsp;Canine Genet\u00adics and Epidemiology2015, 2:8 doi:10.1186\/s40575-<\/li>\n<\/ol>\n<p style=\"text-align: justify;\"><strong><!-- \/wp:paragraph --><!-- wp:list --><!-- \/wp:list --><\/strong><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>L\u2019an\u00e9mie h\u00e9moly\u00adtique auto-immune (<span class=\"caps\">AHAI<\/span>) est une mal\u00adadie du sang qui se traduit par une baisse nor\u00admale du nom\u00adbre de glob\u00adules rouges (aus\u00adsi appel\u00e9s h\u00e9maties) et du taux d\u2019h\u00e9moglobine, ce qu\u2019on appelle une an\u00e9mie. Cette mal\u00adadie existe chez l\u2019humain; chez le chien et le chat, on par\u00adle plus volon\u00adtiers d\u2019an\u00e9mie h\u00e9moly\u00adtique \u00e0 m\u00e9di\u00ada\u00adtion immune (<span class=\"caps\">AHMI<\/span>). La&nbsp;[\u2026]<\/p>","protected":false},"author":3,"featured_media":961,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"wp_typography_post_enhancements_disabled":false},"_links":{"self":[{"href":"https:\/\/american-cocker-spaniel.fr\/en\/wp-json\/wp\/v2\/pages\/959"}],"collection":[{"href":"https:\/\/american-cocker-spaniel.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/american-cocker-spaniel.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/american-cocker-spaniel.fr\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/american-cocker-spaniel.fr\/en\/wp-json\/wp\/v2\/comments?post=959"}],"version-history":[{"count":19,"href":"https:\/\/american-cocker-spaniel.fr\/en\/wp-json\/wp\/v2\/pages\/959\/revisions"}],"predecessor-version":[{"id":4825,"href":"https:\/\/american-cocker-spaniel.fr\/en\/wp-json\/wp\/v2\/pages\/959\/revisions\/4825"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/american-cocker-spaniel.fr\/en\/wp-json\/wp\/v2\/media\/961"}],"wp:attachment":[{"href":"https:\/\/american-cocker-spaniel.fr\/en\/wp-json\/wp\/v2\/media?parent=959"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}