DOI QR코드

DOI QR Code

Acquired myasthenia gravis in a domestic shorthair cat with cranial mediastinal mass

  • Song, Doo-Won (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Kang, Min-Hee (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Konkuk University)
  • Received : 2016.01.25
  • Accepted : 2016.04.04
  • Published : 2016.06.30

Abstract

A 7-year-old castrated male domestic short-hair cat presented with anorexia, constipation, depression, and voice alteration. Physical and neurological examinations revealed hyperthermia ($40.5^{\circ}C$), ventroflexion of the neck, reduced responses to external stimuli, generalized muscle weakness, and exercise intolerance. Thoracic radiographs revealed the presence of a cranial mediastinal mass. The history, clinical signs, and other examination results were compatible with acquired myasthenia gravis (MG). Acetylcholine receptor (AChR) antibody titers were determined to confirm MG and the serum AChR antibody concentration was 1.24 nmol/L (reference interval, < 0.3 nmol/L). This is the first diagnosis of acquired MG in a cat in Korea.

Keywords

References

  1. Ducote JM, Dewey CW, Coates JR. Clinical forms of acquired myasthenia gravis in cats. Compend Contin Edu Pract Vet 1999, 21, 440-448.
  2. Hague DW, Humphries HD, Mitchell MA, Shelton GD. Risk factors and outcomes in cats with acquired myasthenia gravis (2001-2012). J Vet Intern Med 2015, 29, 1307-1312. https://doi.org/10.1111/jvim.13596
  3. Lindstrom JM. Acetylcholine receptors and myasthenia. Muscle Nerve 2000, 23, 453-477. https://doi.org/10.1002/(SICI)1097-4598(200004)23:4<453::AID-MUS3>3.0.CO;2-O
  4. Meeking SA, Prittie J, Barton L. Myasthenia gravis associated with thymic neoplasia in a cat. J Vet Emerg Crit Care 2008, 18, 177-183. https://doi.org/10.1111/j.1476-4431.2008.00290.x
  5. Penderis J, Martin-Vaquero P. Junctionopathies: disorders of the neuromuscular junction. In: Dewey CW, da Costa RC (eds). Practical Guide to Canine and Feline Neurology. 3rd ed. pp. 521-557, John Wiley & Sons, Ames, 2015.
  6. Shelton GD. Acquired myasthenia gravis: what we have learned from experimental and spontaneous animal models. Vet Immunol Immunopathol 1999, 69, 239-249. https://doi.org/10.1016/S0165-2427(99)00058-6
  7. Shelton GD. Myasthenia gravis and disorders of neuromuscular transmission. Vet Clin North Am Small Anim Pract 2002, 32, 189-206. https://doi.org/10.1016/S0195-5616(03)00085-8
  8. Shelton GD, Ho M, Kass PH. Risk factors for acquired myasthenia gravis in cats: 105 cases (1986-1998). J Am Vet Med Assoc 2000, 216, 55-57. https://doi.org/10.2460/javma.2000.216.55
  9. Shilo Y, Pypendop BH, Barter LS, Epstein SE. Thymoma removal in a cat with acquired myasthenia gravis: a case report and literature review of anesthetic techniques. Vet Anaesthe Analg 2011, 38, 603-613. https://doi.org/10.1111/j.1467-2995.2011.00648.x
  10. Sieb JP. Myasthenia gravis: an update for the clinician. Clin Exp Immunol 2014, 175, 408-418. https://doi.org/10.1111/cei.12217
  11. Vincent A. Unravelling the pathogenesis of myasthenia gravis. Nat Rev Immunol 2002, 2, 797-804. https://doi.org/10.1038/nri916
  12. Withrow SJ, Vail DM, Page RL. Withrow and MacEwen's Small Animal Clinical Oncology. 5th ed. pp. 688-691, Elsevier, St. Louis, 2013.
  13. Zitz JC, Birchard SJ, Couto GC, Samii VF, Weisbrode SE, Young GS. Results of excision of thymoma in cats and dogs: 20 cases (1984-2005). J Am Vet Med Assoc 2008, 232, 1186-1192. https://doi.org/10.2460/javma.232.8.1186