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Peer-reviewed veterinary case report

Pancreatic enzyme levels in dogs on prednisolone for immune disease

By Ohta, H et al.·Published in The Journal of small animal practice·2017·Department of Veterinary Clinical Sciences, Japan·View original on PubMed

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Original publication title: Serial measurement of pancreatic lipase immunoreactivity concentration in dogs with immune-mediated disease treated with prednisolone.

Species:
dog

Plain-English summary

A group of 10 dogs with immune-mediated diseases were treated with the steroid medication prednisolone. During their treatment, blood tests showed that five of the dogs had higher levels of pancreatic lipase, which is an enzyme that can indicate pancreatitis, but none of the dogs showed any clinical signs of pancreatitis. This means that while the enzyme levels were elevated, it was uncertain if they had any actual pancreatic issues or if the medication caused the increase. Overall, the dogs were monitored closely, and there were no signs of serious health problems related to their treatment.

People also search for: dog pancreatic lipase levels · immune-mediated disease treatment in dogs · prednisolone side effects in dogs

Abstract

OBJECTIVES: In this pilot study, serum canine pancreatic lipase immunoreactivity was measured repeatedly in dogs with various immune-mediated diseases that were treated with immunosuppressive doses of prednisolone. METHODS: Ten client-owned dogs with newly diagnosed immune-mediated disease that had normal canine pancreatic lipase immunoreactivity concentrations (≤200 µg/l) were treated with 2 to 2.2 mg/kg prednisolone orally once daily as the initial treatment. Serum samples were obtained from each of the dogs prior to treatment and at 1- to 4-week intervals during immunosuppressive treatment. The highest canine pancreatic lipase immunoreactivity concentration detected during immunosuppressive treatment was defined as the peak canine pancreatic lipase immunoreactivity. RESULTS: Peak canine pancreatic lipase immunoreactivity concentrations were classified as normal in two dogs, questionable (201 to 399 µg/l) in three dogs, and abnormal (≥400 µg/l) in five dogs. Peak canine pancreatic lipase immunoreactivity concentrations were significantly higher than baseline canine pancreatic lipase immunoreactivity concentrations but there was no evidence of clinical pancreatitis. CLINICAL SIGNIFICANCE: It remains unclear whether the five of 10 dogs with elevated canine pancreatic lipase immunoreactivity during prednisone treatment had subclinical pancreatitis or whether the abnormal results were a consequence of prednisolone administration.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/28247954/