A potentially misleading presentation and course of acute myelomonocytic leukemia in a dog

J Am Anim Hosp Assoc. 1997 Jan-Feb;33(1):37-41. doi: 10.5326/15473317-33-1-37.

Abstract

A nine-year-old, castrated male golden retriever had lethargy, fever, massive peripheral lymphadenomegaly, hepatosplenomegaly, and pale mucous membranes. There was a marked leukocytosis (456.3 x 10(3) cells/microliter) with 99% blasts; a moderate, nonregenerative anemia; and marked thrombocytopenia. A tentative diagnosis of acute lymphocytic leukemia was made pending results of cytochemical staining. Despite the severity of the laboratory and clinical findings, the dog exhibited a partial response to an induction chemotherapy protocol commonly used for lymphoma. Subsequent cytochemical staining of the original blood and bone-marrow samples resulted in a revised diagnosis of acute myelomonocytic leukemia (AML-M4). Clinicopathological findings, response to treatment, and clinical outcome in this case of canine AML-M4 are discussed.

Publication types

  • Case Reports

MeSH terms

  • Alkaline Phosphatase / blood
  • Animals
  • Aspartate Aminotransferases / blood
  • Blood Cell Count / veterinary
  • Diagnosis, Differential
  • Dog Diseases / blood
  • Dog Diseases / pathology*
  • Dogs
  • Hypokalemia / veterinary
  • Leukemia, Myelomonocytic, Acute / blood
  • Leukemia, Myelomonocytic, Acute / pathology
  • Leukemia, Myelomonocytic, Acute / veterinary*
  • Male
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / pathology
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / veterinary
  • Serum Albumin / analysis

Substances

  • Serum Albumin
  • Aspartate Aminotransferases
  • Alkaline Phosphatase