Page 469 - Veterinary Toxicology, Basic and Clinical Principles, 3rd Edition
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436 SECTION | V Metals and Micronutrients




  VetBooks.ir  proliferation and fibrosis. It is speculated that what was  pills (surgically if necessary), and increase excretion.
                                                                Because the body has limited ability to excrete excess
             histologically interpreted as proliferation of bile ductules
                                                                iron (other than through bleeding), urinary excretion can
             was, in fact, proliferation of hepatic stem cells (oval cells)
             in response to the severe hepatic damage (personal obser-  be enhanced through the use of a chelating agent. A spe-
             vation). Experimentally, adult ponies have been adminis-  cific chelator of iron, deferoxamine, has been used in the
             tered iron as ferrous sulfate at 50 mg/kg/day orally for up  treatment of iron toxicity. Deferoxamine has a strong
             to 8 weeks. Through the study and for 20 weeks after the  affinity for iron and a low affinity for calcium and com-
             end of dosing, no adverse clinical signs or hepatic damage  petes effectively for iron in ferritin and hemosiderin but
             were reported (Pearson and Andreasen, 2001).       not in transferrin, hemoglobin or heme-containing
                                                                enzymes. It is poorly absorbed orally and so is given par-
                                                                enterally by slow intravenous drip. Since it is excreted
             Iron Storage Disease
                                                                primarily by the kidneys, it should be given carefully to
             Iron storage disease, resulting in hemosiderosis and hemo-  patients with renal insufficiency (Osweiler et al., 1985;
             chromatosis, has been reported in several different species  Goyer and Clarkson, 2001; Poppenga, 2002).
             of animals. Hemochromatosis is the pathologic accumula-
             tion of iron in tissues, while hemosiderosis is the non-
             pathologic accumulation of iron. In birds, iron storage  CONCLUDING REMARKS AND FUTURE
             disease has been reported in mynah birds, toucans, birds  DIRECTIONS
             of paradise, quetzals, and birds of the Turdidae family
             (blackbirds, song thrushes, fieldfares, and redwings,  Iron is essential for normal physiological functioning.
             Pavone et al., 2014). The clinical signs are dyspnea,  Iron-deficiency anemia is common in humans and also
             hepatic damage/insufficiency, and death in mynah birds.  occurs in piglets, veal calves and parasitized animals.
             Sudden death has been reported in toucans. It has been  Therefore, iron supplements are readily available and
             shown that the cause in mynah birds is due to mainte-  widely used. In addition, some species have a propensity
             nance of iron uptake from the GI tract, despite excess  for genetic iron storage diseases. Fortunately, both acute
             hepatic iron accumulation (Mete et al., 2003). The treat-  and chronic iron toxicoses are rare in animals. When toxi-
             ment in birds can consist of a low iron diet with phlebot-  cosis does occur, cellular damage is caused by the pres-
             omy or the use of iron chelators (Rodenbusch et al.,  ence of free iron in excess of the body’s capacity to bind
             2004). A genetic, inheritable defect resulting in hemo-  and sequester it. The free iron then initiates the generation
             chromatosis, clinical wasting, and skeletal defects can  of ROS in excess of cellular oxidant defenses resulting in
             occur in Salers cattle beginning at 9 22 months of age  lipid peroxidation of membranes, protein and DNA cross-
             (O’Toole et al., 2001; Norrdin et al., 2004). Egyptian fruit  linking, and cell death.
             bats (Rousettus aegyptiacus) are also known to have
             genetic iron storage disease. In these bats, it was found
             that if the sum of transferrin saturation and serum iron  REFERENCES
             was greater than 51, the individual bat had a high proba-
                                                                Acland, H.M., Mann, P.C., Robertson, J.L., et al., 1984. Toxic hepatopa-
             bility of having iron overload. When the sum was greater
                                                                  thy in neonatal foals. Vet. Pathol. 21, 3 9.
             than 90, there was a high probability of having hemochro-
                                                                Arnbjerg, J., 1981. Poisoning in animals due to oral application of iron.
             matosis (Farina et al., 2005). In addition, although rarely
                                                                  With description of a case in a horse. Nordisk Vet. 33, 71 76.
             reported, hemochromatosis with liver damage has also
                                                                Arosio, P., Levi, S., 2002. Ferritin, homeostasis, and oxidative damage.
             been reported in horses (Pearson et al., 1994) and captive  Free Rad. Biol. Med. 33, 457 463.
             northern fur seals (Mazzaro et al., 2004). Finally, one  Avery, S., 2011. Molecular targets of oxidative stress. Biochem. J. 434,
             case of hemochromatosis secondary to repeated blood  201 210.
             transfusions every 6 8 weeks for 3 years for the treat-  Bergsjoe, T., 1974. Death in association with parenteral administration
             ment of red cell aplasia has been reported in an aged min-  of iron in horses. Also a short comparison with similar events in
             iature schnauzer (Sprague et al., 2003).             other species. Norsk Veterinaer-Tidsskrift. 85, 346 349.
                                                                Bothwell, T.H., Charlton, R.W., Cook, J.D., et al., 1979. Iron
                                                                  Metabolism in Man. Blackwell Scientific Publications, Oxford.
             TREATMENT                                          Buhl, K.J., Berman, F.W., Stone, D.L., 2013. Reports of metaldehyde
                                                                  and iron phosphate exposures in animals and characterization of sus-
             Treatment of iron toxicity varies with the inciting cause,
                                                                  pected iron toxicosis in dogs. J. Am. Vet. Med. Assoc. 242,
             dose, and duration of the disease. General therapy is to  1244 1248.
             limit absorption (although activated charcoal is ineffective  Connor, J.R., Pavlick, G., Karli, D., et al., 1995. A histochemical study
             at binding iron), provide symptomatic and supportive  of iron-positive cells in the developing rat brain. J. Comp. Neurol.
             care, remove gastric bezoars of sticky iron-containing  355, 111 123.
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