| 
              
              
              Open Access  
Copyright: The authors. This article is an open access 
article licensed under the terms of the Creative Commons Attribution License 
 
 
(http://creativecommons.org/licenses/by/2.0) which permits unrestricted use, 
distribution and reproduction in any medium, provided the work is properly 
cited. 
 
              
              
              Research 
              
              
(Published online: 
              
              12-04-2015) 
              
              10.
              
              
              Clinico-hemato-biochemical profile of dogs with liver cirrhosis 
              - 
              M. A. 
              Elhiblu, K. Dua, J. Mohindroo, S. K. Mahajan, N. K. Sood and P. S. 
              Dhaliwal 
              
              Veterinary World, 8(4): 487-491   
              
   
                
                
doi: 
              10.14202/vetworld.2015.487-491     
              M. A. Elhiblu: Department of 
              Veterinary Medicine, Guru Angad Dev Veterinary and Animal Sciences 
              University, Ludhiana - 141 004, Punjab, India; muradelhiblu@yahoo.com 
              K. Dua: Department of Veterinary 
              Medicine, Guru Angad Dev Veterinary and Animal Sciences 
              University, Ludhiana - 141 004, Punjab, India; kirtidua@yahoo.com 
              J. Mohindroo: Department of 
              Veterinary Surgery and Radiology, Guru Angad Dev Veterinary and 
              Animal Sciences University, Ludhiana - 141 004, Punjab, India; 
              jmohindroo@yahoo.co.in 
              S. K. Mahajan: Department of 
              Veterinary Surgery and Radiology, Guru Angad Dev Veterinary and 
              Animal Sciences University, Ludhiana - 141 004, Punjab, India; 
              skmahajan73@yahoo.co.in 
              N. K. Sood:
              Department of 
              Teaching Veterinary Clinical Complex, Guru Angad Dev Veterinary 
              and Animal Sciences University, Ludhiana - 141 004, Punjab, India;
              nareshsood47@gmail.com 
              P. S. Dhaliwal: Department of 
              Veterinary Medicine, Guru Angad Dev Veterinary and Animal Sciences 
              University, Ludhiana - 141 004, Punjab, India; dhaliwalpps@yahoo.com
                 
              Received: 04-11-2014, Revised: 01-03-2015, Accepted: 09-03-2015, 
              Published online: 12-04-2015    
              
              
              Corresponding author: 
              K. Dua; 
              e-mail: kirtidua@yahoo.com 
 
              Citation:Elhiblu MA, Dua K, Mohindroo J, Mahajan SK, Sood NK, Dhaliwal PS 
              (2015) Clinico-haemato-biochemical profile of dogs with liver 
              cirrhosis, Veterinary World 8(4): 487-491. 
 
              Abstract 
 
              Aim: The aim of this study 
              was to determine the relevant tools in the diagnosis of liver 
              cirrhosis in dogs.  
              Material and Methods: A total of 140 dogs presented at 
              Veterinary Teaching Hospital, Guru Angad Dev Veterinary and Animal 
              Sciences University, Ludhiana, showing clinical signs of hepatic 
              insufficiency were subjected to clinico-hemato biochemical, 
              urological, ultrasonographic (USG), and USG guided fine-needle 
              biopsy examinations by standard methods. On the basis of these 
              results, 6 dogs out of 140 dogs were found to be suffering from 
              liver cirrhosis. Six clinically healthy dogs constituted the 
              control group.  
              Results: The dogs suffering from liver cirrhosis manifested 
              inappetence, halitosis, abdominal distension, weight loss, melena, 
              icterus, anemia, and neutrophilic leukocytosis with the left 
              shift. Levels of hemoglobin, lymphocytes, packed cell volume, mean 
              corpuscular volume, mean corpuscular Hb (MCH), and platelet count 
              were significantly lower in liver cirrhosis group than control 
              group while total leukocyte count, neutrophils, and MCH 
              concentration were significantly higher. Glucose, total protein, 
              albumin, A/G ratio, and fibrinogen were significantly lower, and 
              creatinine, alanine aminotransferase, aspartate aminotransferase, 
              alkaline phosphatase, prothrombin time, and APTT were 
              significantly higher than the control values. Ultrasound revealed 
              diffuse increase in echogenicity with rounded and irregular liver 
              margins. Cytological examination of the ascitic fluid and 
              fine-needle aspiration biopsy of liver was not fruitful in the 
              diagnosis of liver cirrhosis.  
              Conclusions: Liver cirrhosis causes clinical and hemo-biochemical 
              alterations, which require special consideration when treating 
              diseased animals. USG, diffuse increase in echogenicity of liver, 
              rounding and irregularity of liver margins and microhepatica were 
              the consistent findings. It is suggested that USG along with hemo-biochemical 
              alterations may be used as a diagnostic tool for liver cirrhosis 
              in dogs.  
              Keywords: biochemistry, coagulation profile, dogs, hematology, 
              liver cirrhosis, ultrasonography.  
 
              References 
 
                
                  | 1. Kanemoto, H., Ohno, K., Sakai, M., Nakashima, K., 
                  Takahashi, M., Fujino, Y. and Tsujimoto, H. (2011) Expression 
                  of fibrosis-related genes in canine chronic hepatitis. Vet. 
                  Pathol., 48(4): 839-845. http://dx.doi.org/10.1177/0300985810388523
 PMid:21118800
 |  
                  |  |  
                  | 2. Favier, R.P. (2009) Idiopathic hepatitis and cirrhosis in 
                  dogs. Vet. Clin. North Am. Small Anim. Pract., 39(3): 481-488. http://dx.doi.org/10.1016/j.cvsm.2009.01.002
 PMid:19524790
 |  
                  |  |  
                  | 3. Hirose, N., Uchida, K., Kanemoto, H., Ohno, K., Chambers, 
                  J.K. and Nakayama, H. (2014) A retrospective histopathological 
                  survey on canine and feline liver diseases at the university 
                  of Tokyo between 2006 and 2012. J. Vet. Med. Sci., 76(7): 
                  1015-1020. http://dx.doi.org/10.1292/jvms.14-0083
 PMCid:PMC4143642
 |  
                  |  |  
                  | 4. Kumar, V., Kumar, A., Varshney, A.C., Tyagi, S.P., Kanwar, 
                  M.S. and Sharma, S.K. (2012) Diagnostic imaging of canine 
                  hepatobiliary affections: A review. Vet. Med. Int., 2012: 
                  672107. http://dx.doi.org/10.1155/2012/672107
 PMid:22577609 PMCid:PMC3329710
 |  
                  |  |  
                  | 5. Prins, M., Schellens, C.J.M., van Leeuwen, M.W., Rothuizen, 
                  J. and Teske, E. (2010) Coagulation disorders in dogs with 
                  hepatic disease. Vet. J., 185(2): 163-168. http://dx.doi.org/10.1016/j.tvjl.2009.05.009
 PMid:19487141
 |  
                  |  |  
                  | 7. Kearns, S. (2009) Infectious hepatopathies in dogs and 
                  cats. Top. Companion. Anim. Med., 24(4): 189-193. http://dx.doi.org/10.1053/j.tcam.2009.06.004
 PMid:19945087
 |  
                  |  |  
                  | 8. Westgren, F., Hjorth, T., Uhlhorn, M., Etterlin, P.E. and 
                  Ley, C.J. (2014) Hepatic emphysema associated with 
                  ultrasound-guided liver biopsy in a dog. Acta Vet. Scand., 
                  56(1): 25. http://dx.doi.org/10.1186/1751-0147-56-25
 |  
                  |  |  
                  | 9. Chikazawa, S., Nakazawa, T., Hori, Y., Hoshi, F., Kanai, 
                  K., Ito, N., Orino, K., Watanabe, K. and Higuchi, S. (2013) 
                  Changes in serum ferritin concentration in experimentally 
                  induced anemia of chronic inflammation in dogs. J. Vet. Med. 
                  Sci., 75(11): 1419-1426. http://dx.doi.org/10.1292/jvms.13-0149
 PMCid:PMC3942990
 |  
                  |  |  
                  | 10. Rothuizen, J. and Meyer, H.P. (2000) History, physical 
                  examination, and signs of liver disease. In: Ettinger, S.J. 
                  and Feldman, E.C., editors. Textbook of Veterinary Internal 
                  Medicine. 5th ed., Vol. 2. W. B. Saunders, Philadelphia. 
                  p1272-1277. |  
                  |  |  
                  | 11. Bush, B.M. (2002) Interpretation of laboratory results for 
                  small clinicians. Blackwell Science Co., Iowa. p317-319. PMid:11942919
 |  
                  |  |  
                  | 12. Shaker, M.K. and Khalifa, M.O. (2012) Comparison between 
                  different noninvasive fibrosis seromarkers and liver biopsy in 
                  staging fibrosis in egyptian patients with chronic hepatitis C 
                  virus infection. EGLJ 2(1): 12-15. http://dx.doi.org/10.1097/01.ELX.0000405288.20919.d4
 |  
                  |  |  
                  | 13. Font, M.J., Ferrer, A., Rodríguez Rosich, A., Butí, M. and 
                  Re-é, J.M. (1989) Normal hepatic enzymes in liver cirrhosis. 
                  Aten Primaria., 6(3): 196-197. PMid:2518920
 |  
                  |  |  
                  | 14. Chapman, S.E. and Hostutler, R.A. (2013) A laboratory 
                  diagnostic approach to hepatobiliary disease in small animals. 
                  Vet. Clin. North Am. Small Anim. Pract., 43(6): 1209-1225. http://dx.doi.org/10.1016/j.cvsm.2013.07.005
 PMid:24144086
 |  
                  |  |  
                  | 15. Tennant, B.C. (1997). Hepatic function. In: Koneko, J., 
                  Harvey, J. and Bruss, M., editors. Clinical Biochemistry of 
                  Domestic Animals. Academic Press, Boston. p237. http://dx.doi.org/10.1016/B978-012396305-5/50014-2
 |  
                  |  |  
                  | 16. Prasse, K.W., Bjorling, D.E., Holmes, R.A. and Cornelius, 
                  L.M. (1983) Indocyanine green and ammonia tolerance in 
                  partially hepatectomized and hepatic devascularized dogs. Am. 
                  J. Vet. Res., 44(12): 2320-2323. PMid:6660621
 |  
                  |  |  
                  | 17. Bexfield, N.H., Andres-Abdo, C., Scase, T.J., 
                  Constantino-Casas, F. and Watson, P.J. (2011) Chronic 
                  hepatitis in the English springer spaniel: Clinical 
                  presentation, histological description and outcome. Vet. Rec., 
                  169(16): 415. http://dx.doi.org/10.1136/vr.d4665
 |  
                  |  |  
                  | 18. Kanemoto, H., Sakai, M., Sakamoto, Y., Spee, B., van den 
                  Ingh, T.S., Schotanus, B.A., Ohno, K. and Rothuizen, J. (2013) 
                  American cocker spaniel chronic hepatitis in Japan. J. Vet. 
                  Int. Med., 27(5): 1041-1048. http://dx.doi.org/10.1111/jvim.12126
 PMid:23782303
 |  
                  |  |  
                  | 19. Leveille-Webster C.R. (2000) Laboratory diagnosis of 
                  hepatobiliary diseases. In: Ettinger, S.J. and Feldman, E.C., 
                  editors. Textbook of Veterinary Internal Medicine. 5th ed., 
                  Vol. II. W. B. Saunders Co., Philadelphia. p1277-1292. |  
                  |  |  
                  | 20. Sampaio, M.S., Martin, P. and Bunnapradist, S. (2014) Enal 
                  dysfunction in end-stage liver disease and post-liver 
                  transplant. Clin. Liver Dis., 18(3): 543-560. http://dx.doi.org/10.1016/j.cld.2014.05.003
 PMid:25017075
 |  
                  |  |  
                  | 21. Biller, D.S., Kantrowitz, B. and Miyabayashi, T. (1992) 
                  Ultrasound of diffuse liver disease. A review. J. Vet. Int. 
                  Med., 6(2): 71-76. http://dx.doi.org/10.1111/j.1939-1676.1992.tb03154.x
 |  |