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[[Pancreatitis, Acute Haemorrhagic]]
[[Pancreatitis, Acute Haemorrhagic]]
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[[Pancreatitis, Chronic Interstitial]]
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==Chronic interstitial pancreatitis==
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*Ongoing inflammation with progression to irreversible damage and impaired function
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*Fibrosis and reduction in acinar mass
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*Can happen in all species as a consequence of obstruction of the pancreatic ducts
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*Vitamin A deficiency may predispose
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*Most commonly in dog, but also in cat, horse and cattle
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*The [[Pancreas - Anatomy & Physiology#Endocrine|islets of Langerhans]] tend to be preserved
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*'''In dogs'''
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**Repeated mild episodes of acute pancreatitis and pancreatic necrosis results in progressive destruction and pancreatic fibrosis and chronic pancreatitis
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**If significant proportion of pancreas is affected, signs of [[EPI|EPI]] develop +/- [[DM|DM]]
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**''Gross appearance''
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***[[Pancreas - Anatomy & Physiology|Pancreas]] is distorted, shrunken
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***Nodular mass with fibrous adhesions to adjacent tissue
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***May be an incidental finding on necropsy
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**Focal pancreatitis may occur during [[Parvoviridae|canine parvovirus]] and [[Paramyxoviridae#Canine Distemper Virus (CDV)|distemper virus]] infection
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*'''In cats'''
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**[http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=6937 Image of chronic pancreatitis and fibrosis in a cat from Cornell Veterinary Medicine]
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**Chronic relapsing condition is more common than the acute condition in cats
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**Fibrosis, ductular ectasia with cyst formation and inflammation
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**Associated with hepatic lipidosis, cholangiohepatitis and inflammatory bowel disease.
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*'''In sheep'''
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**Necrosis of [[Pancreas - Anatomy & Physiology#Exocrine|exocrine pancreatic cells]] followed by fibrosis can be caused by zinc toxicosis
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**Focal pancreatitis may occur during [[picornaviridae#Foot and Mouth Disease Virus|Foot and Mouth disease]] resulting in [[DM|diabetes mellitus]] during recovery
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*'''In horses'''
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**Occurs sporadically
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**Usually as a consequence of [[Pancreas Parasitic - Pathology|parasitic migration]] or from ascending bacterial infection of pancreatic ducts
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**Can occur alongside '''chronic eosinophilic gastroenteritis'''
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**Usually clinically silent
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**Organ tends to be replaced by scar tissue
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*'''In cattle'''
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**Focal pancreatitis may occur during [[picornaviridae#Foot and Mouth Disease Virus|Foot and Mouth disease]] resulting in [[DM|diabetes mellitus]] during recovery
[[Category:Pancreas_-_Pathology]]
[[Category:Pancreas_-_Pathology]]