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Lower airway disease (LAD) is remarkably common in cats, with estimates suggesting that 1% of the general cat population is affected. It poses a clinical challenge whether in its acute or chronic state.
7 wrz 2023 · A case control study involving 54 cats with and 121 cats without inflammatory airway disease (the latter group inclusive of cats with respiratory distress of other etiologies) that presented to the emergency room, showed that cats diagnosed with inflammatory airway disease had a survival rate of 94%. 46 Of note, most patients in this study did ...
The goal of the study was to determine factors that may aid in differentiating between inflammatory airway syndromes in cats. Cats in the eosinophilic inflammation group tended to be younger (4.4 ± 3.3 years) as compared with cats in the neutrophilic (8 ± 5.6 years) and mixed (7.5 ± 4 years) inflammation groups.
Treatment goals for cats with LAD are to: Reduce airway inflammation; Reduce airway hyperreactivity and bronchoconstriction, which relieves airflow limitation; Ameliorate airway remodeling; Remove the underlying cause, if known.
Lower airway disease tends to develop in younger cats (four to five years), but can occur at any age. Siamese cats may suffer more commonly from asthma. Asthma is caused by hypersensitivity to inhaled allergens, while the cause of chronic bronchitis is not completely understood.
Long-term treatment of cats with allergic asthma and chronic bronchitis involves: • Administration of glucocorticoids to reduce airway inflammation • Symptomatic control with bronchodilators. If lung worm infection is highly suspected (eg, espe-in the article, Diagnosis of Feline Lower Airway Disease (september/ october 2013 issue of Today’s
Short-acting beta 2 agonists (SABA) are the most important lifesaving therapy for a cat with status asthmaticus as they work quickly and are potent. Interestingly, there is evidence that chronic inhaled use of SABA may paradoxically exacerbate airway inflammation and airway hyperresponsiveness.
