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Pathology 2018

Research & Reviews: Journal of Medical and Health Sciences

ISSN: 2319-9865

Page 29

October 08-09, 2018

Edinburgh, Scotland

17

th

International Conference on

Pathology & Cancer

Epidemiology

Date of

sampling Animal data Lympho-cyte

count / ul

Cell morphology / additional

finding

Tentative diagnosis

Outcome

Case 1

March 10,

2013

5 year old female 20,064

Marked toxic heterophilia, and sepsis

evident. Increased lysed cells and

count may have been higher

Secondary reactive lymphocytosis

related to infection and sepsis

Animal died a short

time later

Case 2

May 7, 2012 11 month old, sex

unknown

15,480

A few reactive forms

Unknown -possibly transient

reactive lymphocytosis

No further submis-

sion from this animal.

Case 3

April 23,

2012

2 year old, sex

unknown

24,112

Cells appeared small/intermediate

and somewhat reactive (larger, darker

basophilic cytoplasm with open

coarse chromatin, and sometimes

indented nuclear forms).

June 19,

2012

32,419

Progressively increasing lymphocyto-

sis –and similar morphology.

Potential chronic lymphocytic

leukemia (CLL)

Lost to

follow up

Case 4

July 16, 2012 4 year old, female 13,968

Unknown -possibly transient

reactive lymphocytosis

No follow up submis-

sions.

Case 5

September 7,

2012

6.5 year old, sex

unknown; the

animal appeared

to have minimal

clinical signs or

illness

117,888

50-60% of the lymphoid cells were

large lymphoblasts. Concurrent

heteropenia. No anemia or thrombo-

cytopenia.

Acute lymphoblastic leukemia.

(ALL)

September

21, 2012

184,230

Developing anemia – non-regenera-

tive with continued heteropenia and

thrombocytopenia now seen as well.

Similar lymphocyte morphology.

October 01,

2012

457,920

Progressive anemia – non-regen-

erative with similar lymphocyte

morphology evident.

October 17,

2012

244,880

Stabilizing anemia – non-regenerative

with similar lymphocyte morphology;

although many lysed, fragmented and

apoptotic remnant cells present. Note:

Likely another 100,000 cells could

be added to the lymphocyte count if

these were countable.

November

05, 2012

672,980

Likely another 28,336 cells could

be added to the lymphocyte count

however these were unclassified

cells based on severe pleomorphism.

Persistent non-regenerative anemia.

Persistent fulminating ALL

Clinical condition had

worsened significant-

ly with anorexia and

severe progressive

ataxia. Elected eutha-

nasia on November

6, 2012

Table 1: 5 cases of moderate to marked lymphocytosis in bearded dragons

Biography

Dr Rand Wilson has joined leading veterinary diagnostic laboratory Finn

Pathologists in the newly created role of Head of Clinical Pathology. Dr Wil-

son received a BSc in Wildlife Biology in 1984 and a Doctorate of Veteri-

nary Medicine in 1988 fromColorado State University. He spent the next 20

years practising small animal, exotic and avian medicine and surgery and

undertaking PhD studies in clinical pathology and infectious disease. He

became a member of the Royal College of Veterinary Surgeons in 2008 and

achieved Board Certification in Clinical Pathology in 2008 from the Ameri-

can College of Veterinary Pathologists. Arriving in the UK in 2008, he gained

experience in the veterinary labs sector before taking up his new role at Finn

Pathologists, one of the UK’s leading veterinary diagnostics laboratories in

Harleston, Norfolk.

Rand.wilson@finnpathologists.com