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Dog Owner's Home Veterinary Handbook.pdf - Mr. Walnuts

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THE CIRCULATORY SYSTEM • 353<br />

history of bleeding from the gums following tooth eruptions, and oozing from<br />

wounds following tail docking and dewclaw removal.<br />

Breeds at risk for vWD in which bleeding is likely to be mild include the<br />

Doberman Pinscher, Golden Retriever, Standard Poodle, Pembroke Welsh<br />

Corgi, Manchester Terrier, Miniature Schnauzer, Akita, and others. Breeds in<br />

which bleeding is likely to be more severe include the Scottish Terrier, Shetland<br />

Sheepdog, German Shorthaired Pointer, and Chesapeake Bay Retriever.<br />

Hypothyroidism is common in dogs with vWD, and may contribute to the<br />

bleeding risk.<br />

The diagnosis is made by specific blood tests, including a bleeding time. In<br />

this test, a small cut is made and the amount of time it takes for bleeding to<br />

stop on its own is measured. From a nail cut too short, two to six minutes is<br />

normal, while from a cut on the gums, two to four minutes is normal. A quantitative<br />

test for von Willebrand’s disease involves measuring the vWD antigen.<br />

<strong>Dog</strong>s with vWD antigen levels below the normal range are at risk for<br />

expressing and/or carrying the trait.<br />

OFA maintains a vWD registry for many of the breeds mentioned here. A<br />

DNA test to identify affected dogs and carriers is available through VetGen<br />

and is the most accurate diagnostic test.<br />

Hemophilia<br />

This is a sex-linked recessive trait that occurs only in males who inherit a<br />

maternal X chromosome carrying a defective gene. Females always inherit<br />

two X chromosomes, at least one of which usually contains a normal dominant<br />

gene. Thus females can carry the trait but do not develop the disease—<br />

the exception being a female who inherits two recessive genes: one from a<br />

hemophiliac father and the other from a mother who is either a hemophiliac<br />

or a carrier. This is extremely rare.<br />

Hemophilia produces bleeding into the chest and abdominal cavities, muscles,<br />

and subcutaneous tissues. Bleeding into the joints is common.<br />

Hemophilia A (the most common type) is a deficiency of coagulation factor<br />

VIII. Hemophilia B is a deficiency of factor IX. Hemophilia occurs in all<br />

breeds, with a predisposition among German Shepherd <strong>Dog</strong>s, Airedale<br />

Terriers, and Bichons Frises.<br />

Other coagulation deficiencies involve factors VII, X, XI, and prothrombin.<br />

These deficiencies are inherited as single-factor autosomal traits and<br />

affect males and females alike. They are less common than hemophilia.<br />

Affected breeds include the Boxer, English and American Cocker Spaniel,<br />

English Springer Spaniel, Beagle, and Kerry Blue Terrier.<br />

The diagnosis of a coagulation factor deficiency is based on a number of<br />

clotting tests, plus an analysis for the specific factor that is deficient.<br />

PennGen offers genetic tests for factor VII and factor XI.

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