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Descriptive Analysis and Factors Associated With Relapse in Dogs With Presumptive Idiopathic Immune-Mediated
Diane Pichard1, Thibaud Robin2, Kevin Le Boedec2
1Ecole Nationale Veterinaire d'Alfort-CHUV-AC, Maisons-Alfort, France.
Journal of Veterinary Internal Medicine
|September 5, 2025
Summary
Immune-mediated polyarthritis (IMPA) in dogs has a good outcome with high remission rates, but relapses are common. Key predictors for relapse include lameness, enlarged lymph nodes (lymphadenomegaly), and high platelet counts (thrombocytosis).
Area of Science:
- Veterinary Medicine
- Immunology
- Canine Health
Background:
- Immune-mediated polyarthritis (IMPA) is a prevalent joint condition in dogs.
- While generally manageable, IMPA frequently relapses, and factors predicting these relapses are not well understood.
Purpose of the Study:
- To assess the treatment outcomes for dogs with IMPA.
- To identify factors that predict the likelihood of IMPA relapse in dogs.
Main Methods:
- A retrospective study analyzed data from 119 dogs diagnosed with non-associative IMPA across four veterinary centers.
- Medical records, including clinical signs, laboratory results (e.g., CRP), and imaging, were reviewed.
- Statistical models (Cox regression) were used to identify predictors of relapse after remission.
Main Results:
- High remission rates (95.8%) were observed in dogs with IMPA.
- Among dogs with relapse data, 65% experienced relapse within 24 months.
- Thrombocytosis, lymphadenomegaly, and lameness at diagnosis were significantly associated with an increased risk of relapse.
Conclusions:
- Dogs with non-associative IMPA generally achieve remission, but the risk of relapse is considerable.
- Early identification of lameness, lymphadenomegaly, and thrombocytosis can help predict which dogs are at higher risk for IMPA relapse.
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