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Case Reports in Veterinary Medicine
Volume 2014, Article ID 456524, 8 pages
http://dx.doi.org/10.1155/2014/456524
Case Report

Presumptive Ischemic Brain Infarction in a Dog with Evans’ Syndrome

“Pingry” Veterinary Hospital, Via Medaglie d’Oro 5, 70126 Bari, Italy

Received 27 August 2014; Revised 4 November 2014; Accepted 4 November 2014; Published 23 November 2014

Academic Editor: Changbaig Hyun

Copyright © 2014 Angelo Pasquale Giannuzzi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A ten-year-old neutered female mixed breed dog was referred for pale mucous membrane and acute onset of right prosencephalic clinical signs. Brain magnetic resonance imaging was suggestive for right middle cerebral artery ischemic stroke. Based on cell blood count, serum biochemistry and serologic tests and flow cytometric detection of anti-platelets and anti-red blood cells antibodies, a diagnosis of immunomediated haemolytic anemia associated with thrombocytopenia of suspected immunomediated origin was done. Immunosuppresive therapy with prednisone was started and the dog clinically recovered. Two months later complete normalization of CBC and serum biochemistry was documented. The dog remained stable for 7 months without therapy; then she relapsed. CBC revealed mild regenerative anemia with spherocytosis and thrombocytopenia. A conclusive Evans’ syndrome diagnosis was done and prednisone and cyclosporine treatment led to normalization of physical and CBC parameters. The dog is still alive at the time the paper submitted. Possible thrombotic etiopathogenetic mechanisms are illustrated in the paper and the authors suggest introducing Evans’ syndrome in the differential diagnosis list for brain ischemic stroke in dogs.