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Histopathological frequency of feline hepatobiliary disease in the UK
W A Bayton1, C Westgarth2, T Scase3
1Department of Veterinary Medicine, University of Cambridge, Cambridge, UK.
Insights
This study details the frequency of feline liver diseases in the UK, identifying common conditions like neutrophilic cholangitis and reactive hepatitis. It also uncovers new breed and age predispositions for these hepatobiliary diseases in cats.
Area of Science:
- Veterinary Pathology
- Feline Medicine
- Hepatobiliary Diseases
Background:
- Hepatobiliary diseases are significant health concerns in domestic cats.
- Understanding disease frequency and predispositions is crucial for diagnosis and management.
Purpose of the Study:
- To establish the histopathological frequency of feline hepatobiliary diseases in the UK.
- To identify breed, age, and gender predispositions for individual feline liver diseases.
Main Methods:
- Retrospective analysis of 1452 feline liver histopathology results.
- Comparison with a control population for breed-specific risk assessment.
- Calculation of odds ratios to identify significant predispositions.
Main Results:
- Neutrophilic cholangitis (20.5%) and reactive hepatitis (20.4%) were the most common diagnoses.
- Reversible hepatocellular injury, lymphocytic cholangitis, and biliary cysts were also frequent.
- Novel breed and age predispositions for several hepatobiliary diseases were identified.
Conclusions:
- This study provides the first comprehensive histopathological frequency data for feline hepatobiliary diseases in the UK.
- Identified novel breed and age predispositions can aid in clinical suspicion and diagnosis.
- Findings support improved diagnostic strategies for feline liver conditions.
Objectives:
To determine the histopathological frequency of feline hepatobiliary diseases in the UK and to identify breed, age and gender predispositions to developing individual diseases.
Methods:
Histopathology results from 1452 feline liver biopsies were assessed. A control population of microchipped cats was used for breed comparison. Data were retrospectively categorised into hepatobiliary diseases according to World Small Animal Veterinary Association standards. Odds ratios and 95% confidence intervals were calculated to determine breed predispositions to the 10 most frequent diseases. Gender and age distributions were also evaluated.
Results:
The most frequent diseases based on histopathology were neutrophilic cholangitis (20·5%), reactive hepatitis (20·4%), reversible hepatocellular injury (8·4%), lymphocytic cholangitis (6·8%), biliary cysts (5·7%), acute hepatitis (5·6%), haematopoietic neoplasia (5·6%), hepatocellular neoplasia (4·9%), congenital portosystemic shunt (3·8%) and cholangiocellular neoplasia (3·1%). Some previously unreported breed and age predispositions were identified.
Clinical Significance:
This is the first study to document the histopathological frequency of hepatobiliary diseases in a large cohort of cats in the UK, as well as novel breed and age predispositions. These data may help increase the index of suspicion of a particular disease in the absence of a biopsy-confirmed diagnosis.
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