Changes

Clinical signs are related to the loss of lymph and the resultant protein-losing enteropathy and fat malabsorption.  The following signs are therefore common:

Clinical signs are related to the loss of lymph and the resultant protein-losing enteropathy and fat malabsorption.  The following signs are therefore common:

*'''Weight loss''' in the face of '''polyphagia''' due to loss of fat and protein.

*'''Weight loss''' in the face of '''polyphagia''' due to loss of fat and protein.

*'''Chronic [[Diarrhoea|diarrhoea]]''' or '''steatorrhoea''', the latter occurring due to the high fat content of the faeces.  The presence of large quantities of fat in the intestinal lumen provides a substrate for bacteria which produce hydroxy-fatty acids as by-products.  Bacterial proliferation may result in concurrent [[Antibiotic Responsive Diarrhoea and Small Intestinal Bacterial Overgrowth|small intestinal bacterial overgrowth]] (SIBO) and the hydroxy-fatty acids act as potent secretagogues in the colon, leading to the production of diarrhoeic faeces.

*'''Chronic [[Diarrhoea|diarrhoea]]''' or '''steatorrhoea''', the latter occurring due to the high fat content of the faeces.  The presence of large quantities of fat in the intestinal lumen provides a substrate for bacteria which produce hydroxy-fatty acids as by-products.  Bacterial proliferation may result in concurrent [[Small Intestinal Bacterial Overgrowth and Antibiotic Responsive Diarrhoea|small intestinal bacterial overgrowth]] (SIBO) and the hydroxy-fatty acids act as potent secretagogues in the colon, leading to the production of diarrhoeic faeces.

*'''Effusions''' may develop for a number of reasons in animals with lymphangiectasia.  Ascites composed of a [[Transudate|transudate]] may develop in severely [[Hypoalbuminaemia|hypoproteinaemic]] animals but, in animals that develop secondary lymphangiectasia due to right-sided heart failure, a [[Modified Transudate|modified transudate]] may form due to portal hypertension.  If the major lymphatic vessels of the abdomen are disrupted (by a neoplastic mass), [[Chylous Effusion|chylous ascites]] may develop, although this is very rare.  In animals with congenital lymphangiectasia or in those with disruption of the thoracic duct, chylothorax has also been described.

*'''Effusions''' may develop for a number of reasons in animals with lymphangiectasia.  Ascites composed of a [[Transudate|transudate]] may develop in severely [[Hypoalbuminaemia|hypoproteinaemic]] animals but, in animals that develop secondary lymphangiectasia due to right-sided heart failure, a [[Modified Transudate|modified transudate]] may form due to portal hypertension.  If the major lymphatic vessels of the abdomen are disrupted (by a neoplastic mass), [[Chylous Effusion|chylous ascites]] may develop, although this is very rare.  In animals with congenital lymphangiectasia or in those with disruption of the thoracic duct, chylothorax has also been described.

*[[Stomach and Abomasum Consequences of Gastric Disease - Pathology|Vomiting]], lethargy and anorexia are uncommon clinical signs.

*[[Stomach and Abomasum Consequences of Gastric Disease - Pathology|Vomiting]], lethargy and anorexia are uncommon clinical signs.