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− | *Australia and Europe
| + | ==Introduction== |
− | *young lambs on lush pasture
| + | |
− | *clinical signs
| + | White liver disease in sheep is a form of fatty liver disease associated with cobalt deficiency. |
− | **ill thrift
| + | Disease occurs in areas of low soil cobalt which can be found in parts of the UK and Australia. |
− | **anorexia
| + | Cobalt is used by the rumen microflora to synthesise vitamin B12 (cobalamin). Cobalamin is a co-enzyme for methylmalonyl CoA mutase, an enzyme involved in the pathway through which propionate is metabolised into glucose. Vitamin B12 is also important in the [[Erythropoiesis#Nutritional factors|formation of new erythrocytes]]. |
− | **jaundice | + | Cobalt deficiency leads to the accumulation of methylmalonyl CoA, or methylmalonic acid, which is converted to branched chain fatty acids that accumulate in the liver and cause damage. |
− | **photosensitisation | + | Propionate is the major source of glucose in ruminants and thus glucose deficiency and starvation occur. |
− | *treatment | + | |
− | **responsive to Vitamin B12 and cobalt | + | ==Clinical signs== |
| + | |
| + | Disease is most commonly seen in weaned lambs at pasture in late summer/autumn. |
| + | Cobalt deficiency presents as: |
| + | *ill-thrift |
| + | *anorexia |
| + | *emaciation |
| + | *bilateral serous ocular discharge |
| + | *pale mucous membranes |
| + | The liver damage can lead to: |
| + | *[[Photosensitisation|photosensitisation]] (scaly ears) |
| + | *diarrhoea |
| + | *nervous signs ([[Hepatic Encephalopathy]]) |
| + | |
| + | ==Diagnosis== |
| + | |
| + | Clinical signs are suggestive. |
| + | Clinical pathology may reveal: |
| + | *mild normocytic, normochromic anaemia |
| + | *elevated liver enzymes (GGT, AST) |
| + | *reduced serum levels of vitamin B12 |
| + | Liver analysis: |
| + | *reduced levels of cobalt and vitamin B12 |
| + | *Grossly: pale, fatty and friable parenchyma |
| + | *Histopathology: Hepatic lipidosis, bile duct proliferation |
| + | Flock levels: |
| + | *Individual variation in serum vitamin B12 levels is high and a minimum of 7 sheep should be sampled. |
| + | *There is little variation in liver vitamin B12 concentrations and 3 samples collected from casualty or slaughterhouse animals can be used to monitor the flock cobalt status. |
| + | |
| + | ==Treatment and prevention== |
| + | |
| + | Immediate treatment: vitamin B12 injection or oral cobalt supplementation <br> |
| + | Long-term prevention: Pasture analysis and identification of cobalt deficient areas. |
| + | Cobalt supplementation via drenches, licks, pasture fertilization, cobalt bolus administration. |
| + | |
| + | ==References== |
| + | |
| + | D.G. Pugh (2002) Sheep and Goat Medicine, Elsevier Health Sciences <br> |
| + | J. Brugère-Picoux (2004) Maladies des moutons (2nd Edition), Editions France Agricole <br> |
| + | P.J. Mitchell et al (1982) White liver disease of sheep, Australian Veterinary Journal 58, 181-4 <br> |
| + | S. Kennedy et al (1997) Histopathologic and ultrastructural alterations of white liver disease in sheep experimentally depleted of cobalt, Veterinary Pathology 34, 575-84 <br> |
| + | N. Sargison (2001) Cobalt deficiency in lambs, NADIS disease bulletin |
| + | |
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| [[Category:Liver_-_Degenerative_Pathology]] | | [[Category:Liver_-_Degenerative_Pathology]] |
| [[Category:To_Do_-_Alimentary]][[Category:To Do - Medium]] | | [[Category:To_Do_-_Alimentary]][[Category:To Do - Medium]] |
| [[Category:Liver Diseases - Sheep]] | | [[Category:Liver Diseases - Sheep]] |