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Peer-reviewed veterinary case report

Focal segmental glomerulosclerosis in 77 dogs - signs and outlook

By Lorbach, Sarah K et al.·Published in Journal of veterinary internal medicine·2020·Department of Veterinary Clinical Sciences, United States·View original on PubMed

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Original publication title: Clinicopathologic characteristics, pathology, and prognosis of 77 dogs with focal segmental glomerulosclerosis.

Species:
dog

Plain-English summary

A group of 77 dogs diagnosed with focal segmental glomerulosclerosis (FSGS), a kidney condition that can cause protein in the urine, were studied to understand their symptoms and survival. Most affected dogs were female, and many had elevated blood pressure and abnormal kidney function. The average survival time after diagnosis was about 258 days, with dogs showing higher creatinine levels or low albumin levels having a shorter lifespan. Treatment options weren't detailed, but monitoring kidney function and managing symptoms are crucial for these dogs.

People also search for: dog kidney disease symptoms · FSGS in dogs treatment · high protein in dog urine causes

Abstract

BACKGROUND: Focal segmental glomerulosclerosis (FSGS) is a common cause of nonimmune complex glomerulopathy and the prognosis and clinicopathologic findings associated with this condition have not been described in dogs. OBJECTIVE: To characterize the presentation and identify clinical factors associated with the survival of dogs with FSGS. ANIMALS: Seventy-seven dogs diagnosed with FSGS based on evaluation of renal biopsy samples submitted to the International Veterinary Renal Pathology Service. METHODS: Retrospective review of medical records of dogs biopsied for evaluation of proteinuria between January 2015 and May 2017. RESULTS: The incidence of FSGS among all dogs biopsied for proteinuria was 26%. Significantly more females (48; 62.3%) than males (29; 37.7%) were affected (P = .04). At the time of biopsy, median serum creatinine concentration (SCr) was 1.2 mg/dL (range, 0.3-8.7), median serum albumin concentration (Alb) was 2.8 g/dL (range, 1.1-4.6), median systolic blood pressure was 153.5&#x2009;mm&#x2009;Hg (range, 95-260), and median urine protein : creatinine ratio was 5.9 (range, 1.4-22). Median survival time after biopsy was 258&#x2009;days (range, 26-1003) for dogs that died from all causes (n = 32). Factors that were associated with a shorter survival time included SCr&#x2009;&#x2265;&#x2009;2.1 mg/dL (P&#x2009;<&#x2009;.01) and Alb&#x2009;<&#x2009;2 g/dL (P&#x2009;<&#x2009;.01). CONCLUSIONS AND CLINICAL IMPORTANCE: Most dogs with FSGS were female, and although commonly hypertensive, azotemia, severe hypoalbuminemia and ascites or edema were observed infrequently. Variables significantly associated with survival time were SCr and Alb.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33463760/