Correlation of clinical and radiographic variables in cats with lower airway disease

Abstract Background Feline lower airway disease (FLAD) is frequently associated with radiographic abnormalities. Objectives To evaluate whether radiographic changes in cats with naturally occurring FLAD improve with treatment and if radiographic changes correlate with clinical signs. Animals Twenty‐...

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Main Authors: Hannah Gareis, Lina Hörner‐Schmid, Yury Zablotski, Jelena Palić, Silke Hecht, Bianka Schulz
Format: Article
Language:English
Published: Wiley 2023-11-01
Series:Journal of Veterinary Internal Medicine
Subjects:
Online Access:https://doi.org/10.1111/jvim.16874
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author Hannah Gareis
Lina Hörner‐Schmid
Yury Zablotski
Jelena Palić
Silke Hecht
Bianka Schulz
author_facet Hannah Gareis
Lina Hörner‐Schmid
Yury Zablotski
Jelena Palić
Silke Hecht
Bianka Schulz
author_sort Hannah Gareis
collection DOAJ
description Abstract Background Feline lower airway disease (FLAD) is frequently associated with radiographic abnormalities. Objectives To evaluate whether radiographic changes in cats with naturally occurring FLAD improve with treatment and if radiographic changes correlate with clinical signs. Animals Twenty‐four client‐owned cats newly diagnosed with FLAD, based on medical history, typical clinical signs, radiographic findings, and examination of bronchoalveolar lavage fluid, were included in the prospective study. Methods At 2 examination time points (days 0 and 60), an owner questionnaire, clinical examination, and thoracic radiography were carried out. Information from the questionnaire and clinical examination were evaluated on the basis of a 12‐point clinical score. Radiographs were assessed using a 10‐point radiographic score. Individual treatment was given to all cats over the study period, based on severity of the disease and compliance of the cat. Clinical and radiographic scores were compared statistically for both examination time points and evaluated for correlation. Results All cats showed radiographic abnormalities at initial presentation. In addition to significant improvement in clinical variables, the total radiographic score improved significantly (P = .01) during the study period, with significant improvement in the severity of bronchial (P = .01) and interstitial lung pattern (P = .04). Improvement of the clinical and radiographic score was not correlated. Conclusion and Clinical Importance In addition to clinical signs, repeated radiographic examination can be used as a diagnostic tool to evaluate treatment response in cats with FLAD.
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spelling doaj.art-3db33f6564a14da9a8b880e3d02566c22024-03-23T17:56:17ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762023-11-013762443245210.1111/jvim.16874Correlation of clinical and radiographic variables in cats with lower airway diseaseHannah Gareis0Lina Hörner‐Schmid1Yury Zablotski2Jelena Palić3Silke Hecht4Bianka Schulz5Clinic of Small Animal Medicine Ludwig Maximilian University of Munich Munich GermanyClinic of Small Animal Medicine Ludwig Maximilian University of Munich Munich GermanyClinic of Small Animal Medicine Ludwig Maximilian University of Munich Munich GermanyDivision of IDEXX Laboratories Vet Med Labor GmbH Kornwestheim GermanyCollege of Veterinary Medicine University of Tennessee Knoxville Tennessee USAClinic of Small Animal Medicine Ludwig Maximilian University of Munich Munich GermanyAbstract Background Feline lower airway disease (FLAD) is frequently associated with radiographic abnormalities. Objectives To evaluate whether radiographic changes in cats with naturally occurring FLAD improve with treatment and if radiographic changes correlate with clinical signs. Animals Twenty‐four client‐owned cats newly diagnosed with FLAD, based on medical history, typical clinical signs, radiographic findings, and examination of bronchoalveolar lavage fluid, were included in the prospective study. Methods At 2 examination time points (days 0 and 60), an owner questionnaire, clinical examination, and thoracic radiography were carried out. Information from the questionnaire and clinical examination were evaluated on the basis of a 12‐point clinical score. Radiographs were assessed using a 10‐point radiographic score. Individual treatment was given to all cats over the study period, based on severity of the disease and compliance of the cat. Clinical and radiographic scores were compared statistically for both examination time points and evaluated for correlation. Results All cats showed radiographic abnormalities at initial presentation. In addition to significant improvement in clinical variables, the total radiographic score improved significantly (P = .01) during the study period, with significant improvement in the severity of bronchial (P = .01) and interstitial lung pattern (P = .04). Improvement of the clinical and radiographic score was not correlated. Conclusion and Clinical Importance In addition to clinical signs, repeated radiographic examination can be used as a diagnostic tool to evaluate treatment response in cats with FLAD.https://doi.org/10.1111/jvim.16874bronchoalveolar lavagechronic bronchial diseasechronic bronchitisfeline asthmaradiography
spellingShingle Hannah Gareis
Lina Hörner‐Schmid
Yury Zablotski
Jelena Palić
Silke Hecht
Bianka Schulz
Correlation of clinical and radiographic variables in cats with lower airway disease
Journal of Veterinary Internal Medicine
bronchoalveolar lavage
chronic bronchial disease
chronic bronchitis
feline asthma
radiography
title Correlation of clinical and radiographic variables in cats with lower airway disease
title_full Correlation of clinical and radiographic variables in cats with lower airway disease
title_fullStr Correlation of clinical and radiographic variables in cats with lower airway disease
title_full_unstemmed Correlation of clinical and radiographic variables in cats with lower airway disease
title_short Correlation of clinical and radiographic variables in cats with lower airway disease
title_sort correlation of clinical and radiographic variables in cats with lower airway disease
topic bronchoalveolar lavage
chronic bronchial disease
chronic bronchitis
feline asthma
radiography
url https://doi.org/10.1111/jvim.16874
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