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1.
J Dairy Sci ; 105(2): 1338-1345, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-34955244

RESUMEN

A new undesirable genetic factor, neuropathy with splayed forelimbs (JNS), has been identified recently in the Jersey breed. Calves affected with JNS are unable to stand on splayed forelimbs that exhibit significant extensor rigidity and excessive lateral abduction at birth. Affected calves generally are alert at birth but exhibit neurologic symptoms, including spasticity of head and neck and convulsive behavior. Other symptoms reported include dislocated shoulders, congenital craniofacial anomalies, and degenerative myelopathy. Inheritance of an undesirable genetic factor was determined from a study of 16 affected calves reported by Jersey breeders across the United States. All of their pedigrees traced back on both paternal and maternal sides to a common ancestor born in 1995. Genotypes revealed that JNS is attributable to a specific haplotype on Bos taurus autosome 6. Currently 8.2% of the genotyped US Jersey population are carriers of the haplotype. Sequencing of the region of shared homozygosity revealed missense variant rs1116058914 at base 60,158,901 of the ARS-UCD1.2 reference map as the most concordant with the genetic condition and the most likely cause. The single-base G to A substitution is in the coding region of the last exon of UCHL1, which is conserved across species. Mutations in humans and gene knockouts in mice cause similar recessive symptoms and muscular degeneration. Since December 2020, carrier status has been tracked using the identified haplotype and reported for all 459,784 genotyped Jersey animals. With random mating, about 2,200 affected calves per year with losses of about $250,000 would result from the 1.3 million US Jersey cows in the national population. Selection and mating programs can reduce numbers of JNS-affected births using either the haplotype status or a direct gene test in the future. Breeders should report calf abnormalities to their breed association to help discover new defects such as JNS.


Asunto(s)
Miembro Anterior , Patrón de Herencia , Animales , Bovinos/genética , Femenino , Genotipo , Haplotipos , Ratones , Mutación , Estados Unidos
2.
Vet Pathol ; 50(2): 308-17, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-22688584

RESUMEN

Recently, confirmed occurrences of persistent bovine viral diarrhea virus (BVDV) infection in North American alpacas have raised concerns about the role of persistently infected (PI) alpacas in transmission of virus among herds, yet only limited pathological descriptions of persistent infections in alpacas have been reported. The objective of this study was to characterize BVDV antigen distribution in 10 PI alpacas of varying age and to compare viral antigen distribution and localization in tissues of PI alpacas with 5 PI calves of varying age. Ocular dysplasia was evident in 1 PI alpaca, constituting the first reported congenital ocular lesion in PI alpacas. Viral antigen was widely distributed in alpaca tissues and was prominent in neurons, endothelial cells, and vascular tunica media myocytes but had limited distribution in lymphoid tissues and moderate distribution in epithelium of several organ systems of alpacas. Macrophages in the alpaca gastrointestinal system submucosa and lymph node medullary sinuses often had prominent labeling. In addition, only 1 alpaca had antigen labeling in the bone marrow in contrast to PI cattle. Labeled cells in calf tissues were more widely distributed, occurring prominently in lymphoid and epithelial tissues. Common features of the 2 host species were widespread antigen labeling and absence of lymphoid depletion.


Asunto(s)
Antígenos Virales/inmunología , Camélidos del Nuevo Mundo/inmunología , Camélidos del Nuevo Mundo/virología , Virus de la Diarrea Viral Bovina/inmunología , Infecciones por Pestivirus/veterinaria , Animales , Bovinos , Colorado , Inmunohistoquímica/veterinaria , Nebraska , Infecciones por Pestivirus/inmunología , Reacción en Cadena de la Polimerasa/veterinaria , Reacción en Cadena en Tiempo Real de la Polimerasa/veterinaria , Carga Viral/inmunología
3.
J Clin Microbiol ; 42(6): 2752-8, 2004 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15184462

RESUMEN

Ileocolitis associated with spiral bacteria identified as an Anaerobiospirillum sp. was found in six cats. Two cats had acute onset of gastrointestinal signs characterized by vomiting and diarrhea in one cat and vomiting in another cat, one cat had chronic diarrhea that was refractory to medical therapy; one cat had acute onset of anorexia and lethargy, and two cats had clinical signs that were not related to the gastrointestinal tract. The presence of an Anaerobiospirillum sp. was demonstrated on the basis of ultrastructural morphology of spiral bacteria associated with intestinal lesions and PCR amplification of a genus-specific 16S rRNA gene from affected tissues from each cat. The colons of three clinically healthy cats without lesions and one cat with mild colitis not associated with spiral bacteria were negative for Anaerobiospirillum spp. in the same assay. Comparative nucleotide sequence analysis of cloned PCR products from three affected cats further suggested that the spiral bacteria were closely related to Anaerobiospirillum succiniciproducens.


Asunto(s)
Anaerobiospirillum/aislamiento & purificación , Enfermedades de los Gatos/microbiología , Enfermedad de Crohn/veterinaria , Anaerobiospirillum/clasificación , Anaerobiospirillum/genética , Animales , Enfermedades de los Gatos/patología , Gatos , Enfermedad de Crohn/microbiología , Enfermedad de Crohn/patología , ADN Ribosómico/química , Femenino , Masculino , Reacción en Cadena de la Polimerasa , ARN Ribosómico 23S/genética
4.
Vet Ther ; 2(1): 70-7, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-19753700

RESUMEN

The objective of this study was to determine the effects of ascorbate and two different culture media on cell morphology and extracellular matrix formation of canine chondrocytes grown in a three-dimensional (3-D) culture system. Articular cartilage harvested from the humeral head of three adult canine cadavers was used to obtain chondrocytes for primary culture. Subcultured chondrocytes were seeded in a 3-D medium of RPMI-1640 (R), RPMI-1640 with 50 microg/mL ascorbate (RA), Ham's F-12 (F), or Ham's F-12 with 50 microg/mL ascorbate (FA) in agarose. Samples were harvested at 5, 10, 15, and 20 days of 3-D culture and analyzed for histologic appearance and proteoglycan staining, electron microscopic appearance, dimethylmethylene blue assay for glycosaminoglycan (GAG) content, and immunohistochemical staining for collagen type II production. Chondrocytes in all four groups maintained appropriate morphology and produced matrix over the entire study period. Chondrocytes from groups R and RA produced more GAG and collagen type II than did those from groups F and FA on days 10 (P = .00791) and 15 (P = .0173). Chondrocytes from group RA produced more GAG on days 5 (P = .0154) and 20 (P = .0044) than did those in groups R, F, and FA. With respect to matrix production, RPMI-1640 is superior to Ham's F-12 for 3-D culture of canine chondrocytes. The addition of ascorbate at 50 microg/mL to RPMI-1640 did have a positive effect on the production of GAG but had minimal effect on type II collagen production. Determining the most ideal in vitro microenvironment for canine chondrocytes grown in a 3-D culture system has important implications to the in vivo application of this technique.


Asunto(s)
Ácido Ascórbico/farmacología , Técnicas de Cultivo de Célula/veterinaria , Condrocitos/efectos de los fármacos , Medios de Cultivo/química , Perros , Animales , Células Cultivadas
5.
Vet Pathol ; 37(5): 508-11, 2000 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-11055885

RESUMEN

Six genetically related Shorthorn calves were affected with the tibial hemimelia syndrome. The lesions included bilaterally malformed or absent tibia and abdominal hernia in all animals, a long shaggy haircoat, retained testicles in males, and meningocele in three animals. The malformations were similar to those described previously in Galloway calves. Pedigree analysis demonstrated a mechanism by which a recessive allele in a homozygous state could be responsible for the disorder. The condition in these calves was considered the result of a recurrence of a genetic mutation affecting a putative hemimelia locus.


Asunto(s)
Enfermedades de los Bovinos/patología , Ectromelia/veterinaria , Hernia Ventral/veterinaria , Meningocele/veterinaria , Tibia/patología , Animales , Bovinos , Enfermedades de los Bovinos/genética , Ectromelia/genética , Ectromelia/patología , Femenino , Hernia Ventral/genética , Hernia Ventral/patología , Masculino , Meningocele/genética , Meningocele/patología , Linaje
6.
J Wildl Dis ; 35(1): 101-4, 1999 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10073356

RESUMEN

The meningeal worm (Parelaphostrongylus tenuis) was found in 22 (7%) of 300 white-tailed deer (Odocoileus virginianus) (257 adults, 43 fawns) examined from Nebraska (USA) during November 1996. None of 53 mule deer (Odocoileus hemionus) (47 adults and 6 fawns) examined were infected. Twenty-two white-tailed deer from 18 counties in eastern Nebraska were infected with Parelaphostrongylus tenuis. This is the first record of P. tenuis in white-tailed deer from this state.


Asunto(s)
Encéfalo/parasitología , Ciervos/parasitología , Metastrongyloidea/aislamiento & purificación , Infecciones por Strongylida/veterinaria , Animales , Animales Salvajes , Femenino , Masculino , Nebraska/epidemiología , Infecciones por Strongylida/epidemiología
7.
J Wildl Dis ; 35(1): 105-7, 1999 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10073357

RESUMEN

Lymph nodes from 271 white-tailed deer (Odocoileus virginianus) and mule deer (Odocoileus hemionus) in Nebraska (USA) were examined microscopically for tuberculoid lesions. Lymph nodes lesions in at least one node were found in 12 deer. Lesions were examined with Zeihl-Neelson acid fast stains and by polymerase chain reactions using M. bovis specific probes. No evidence of tuberculosis was found. The small granulomatous lesions were likely caused by other bacteria.


Asunto(s)
Ciervos , Ganglios Linfáticos/patología , Mycobacterium bovis/aislamiento & purificación , Mycobacterium tuberculosis/aislamiento & purificación , Tuberculosis/veterinaria , Animales , Animales Salvajes , Ganglios Linfáticos/microbiología , Nebraska/epidemiología , Tuberculosis/epidemiología
8.
J Vet Diagn Invest ; 10(3): 247-54, 1998 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-9683073

RESUMEN

Twenty-five syndactylous Angus cattle, characterized pathologically, were reported from 16 herds in 10 states from 1979 to 1994. Twenty-one (84%) had all 4 legs syndactylous, 3 (12%) had 3 legs syndactylous, and 1 (4%) had 2 legs syndactylous. All syndactylous cattle walked with considerable difficulty. Hooves of aged animals became curled and bent laterally or medially. Affected hooves had the appearance of a truncated cone, the base of which was located at the coronary band. Most hooves were fused completely with no indication of dual anlage. An occasional hoof had a distal notch, and other hooves had a dorsally located groove indicating dual embryonic origin. Lateral dewclaws were enlarged in most cases. Radiographs and dissections of limbs of 19 animals revealed a consistent pattern of fusion in most affected calves. Lesions included 1 or more of the following: disappearance of the large metacarpal and metatarsal intertrochlear notches, horizontal fusion of 1 or more carpals and tarsals, fusion of proximal sesamoids, 1 distal sesamoid, and fusion of paired phalanges. Evidence of a genetic cause consisted of 11 syndactylous calves among 70 offspring of 4 3/4 sib families, 8 preterm syndactylous fetuses among 148 preterm fetuses and 13 calves in progenies of 19 animals tested for possible heterozygosity, and 5 syndactylous calves from matings of an Angus syndactylous bull with 1 Angus and 4 Holstein syndactylous cows. Data were consistent with recessive inheritance at a single locus. Angus cattle with sydactytly had a larger number of affected limbs than did syndactylous Holsteins and their Angus crosses, suggesting existence of 2 recessive alleles. The allele of Holsteins (syH) appeared to influence phenotypic expression in a dominant pattern over the Angus allele (syA). Both syA and syH alleles acted as recessives to the normal SY allele. Phenotypic effects on limb development were most dramatic in calves with the syA/syA genotype.


Asunto(s)
Enfermedades de los Bovinos/genética , Sindactilia/veterinaria , Alelos , Animales , Bovinos , Cruzamientos Genéticos , Femenino , Genes Recesivos , Tamización de Portadores Genéticos , Masculino , Sindactilia/clasificación , Sindactilia/genética
10.
Vet Res Commun ; 19(1): 3-8, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-7762138

RESUMEN

Nasal secretions, faecal samples and buffy coats were obtained from 102 cattle from a North Dakota dairy herd with a history of calf scours. Treated buffy coats, faecal samples and nasal secretions were inoculated into tetrathionate broth (TB), incubated at 37 degrees C overnight, and plated onto brilliant green agar medium with novobiocin (BGAN). The TB was left at room temperature for 5 days and then used to inoculate fresh TB. The fresh TB was incubated at 37 degrees C over night and plated onto BGAN medium. All the plates were incubated at 37 degrees C over night and observed for Salmonella-like growth. Suspect colonies were further tested and Salmonella isolates were serotyped by the National Veterinary Services laboratory. Twenty-two of the 36 calves sampled harboured S. typhimurium in their faeces, but no samples from cows were positive. No Salmonella were isolated from the buffy coats, but 4 calves were shown to have Salmonella in their nasal secretions. Extended enrichment of the faecal cultures in TB resulted in a significant increase in Salmonella isolations, although 2 samples were positive following the initial enrichment period and not after secondary enrichment. The typical Salmonella isolate detected from this herd contained a transmissible R-plasmid encoding resistance to tetracycline, kanamycin, sulphisoxazole and ampicillin. This study confirmed that delayed secondary enrichment in TB is superior to primary enrichment for detection of Salmonella from cattle.


Asunto(s)
Enfermedades de los Bovinos/diagnóstico , Salmonelosis Animal/diagnóstico , Salmonella typhimurium/aislamiento & purificación , Animales , Bovinos , Enfermedades de los Bovinos/microbiología , Femenino , North Dakota , Salmonelosis Animal/microbiología , Salmonella typhimurium/genética
11.
J Vet Diagn Invest ; 6(4): 466-72, 1994 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-7858026

RESUMEN

In 24 cases of multifocal necrotizing encephalopathy (MNE) in Simmental and Simmental-cross cattle, clinical features varied, consisting of mild rear limb ataxia, caudal paresis, and, less often, sudden death. Bilateral and symmetric malacic lesions were present in the brain stem (olivary nucleus) of all affected calves. Foci of malacia affecting thoracic spinal cord and additional brain stem sites were common. Neuronal cell bodies and hypertrophied capillaries were present within malacic foci. Rarefaction of neuropil, progressing to complete parenchymal loss, characterized advanced lesions. Pathologic features were similar to those of Leigh syndrome in humans, and a similar defect in aerobic metabolism is hypothesized. Occurrence of the syndrome within 1 breed over a wide geographic area suggests that hereditary factors contribute to development of MNE.


Asunto(s)
Enfermedades de los Bovinos/epidemiología , Enfermedad de Leigh/veterinaria , Animales , Bovinos , Enfermedades de los Bovinos/patología , Enfermedades de los Bovinos/fisiopatología , Enfermedad de Leigh/epidemiología , Enfermedad de Leigh/patología , Enfermedad de Leigh/fisiopatología , Medio Oeste de Estados Unidos/epidemiología
14.
J Hered ; 84(4): 263-5, 1993.
Artículo en Inglés | MEDLINE | ID: mdl-8340614

RESUMEN

Congenital dyserythropoiesis and dyskeratosis occur within certain lines of Polled Hereford cattle. Eighty-nine of 90 alleles in 45 affected calves had a mechanism in which they could be identical by descent from an identified common ancestor. The line allele may have been a recurrence of the mutation, or the mutation may have occurred earlier in the breed's history and been distributed throughout the breed by the extensive use of several ancestors. No evidence of disease has been identified in sire and dams of affected calves, suggesting that the allele is not acting in a dominant or incompletely dominant manner. Even distribution of cases between sexes suggests that the disease is not sex linked or sex influenced. A higher degree of inbreeding in the affected calves and temporal and spatial features that separated individual cases also suggest a genetic cause. Segregation ratios were not significantly different from those of the hypothesized simple autosomal recessive inheritance.


Asunto(s)
Anemia Diseritropoyética Congénita/veterinaria , Enfermedades de los Bovinos/epidemiología , Queratosis/veterinaria , Anemia Diseritropoyética Congénita/epidemiología , Anemia Diseritropoyética Congénita/genética , Animales , Bovinos , Enfermedades de los Bovinos/genética , Femenino , Queratosis/epidemiología , Queratosis/genética , Masculino , Linaje , Estados Unidos/epidemiología
15.
Vet Clin North Am Food Anim Pract ; 9(1): 105-14, 1993 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-8457920

RESUMEN

It must be remembered that viral infections and maternal nutritional deficiencies can and do cause congenital skin diseases and must be included in a complete differential diagnosis list. These disorders are covered adequately in most current texts on infectious and nutritional diseases and therefore are not described here. When an hereditary, congenital skin disease is suspected, biopsy specimens should be submitted for diagnosis. Many breed associations have control programs for these types of diseases and only with veterinary and producer cooperation will these programs be successful.


Asunto(s)
Enfermedades de los Bovinos/congénito , Enfermedades de las Ovejas/congénito , Enfermedades de la Piel/veterinaria , Enfermedades de los Porcinos/congénito , Animales , Bovinos , Ovinos , Enfermedades de la Piel/congénito , Porcinos
16.
Vet Pathol ; 29(3): 203-9, 1992 May.
Artículo en Inglés | MEDLINE | ID: mdl-1621331

RESUMEN

Ultrastructural evidence of dyserythropoiesis was found in ten calves (ages 1 to 16 months) previously diagnosed as having congenital anemia, dyskeratosis, and progressive alopecia. Morphologic abnormalities found in erythroid precursors of all calves were associated with the nucleus. Rubriblast nuclei were irregular with numerous blebs, indentations, and deep clefts. Elongated blebs appeared as satellite nuclei in some sections. Nuclear membranes had numerous defects or gaps, which were frequently present in, but not limited to, recently divided cells. Cytoplasmic material could be found within these gaps and extending into the nucleus. Rubricytes had chromatin that was abnormally condensed and hyperosmiophilic, with numerous translucent vacuoles present. Binucleate rubricytes occurred frequently in affected calves. These changes resemble those of type I congenital dyserythropoiesis in human beings, and we suggest congenital anemia, dyskeratosis, and progressive alopecia of Polled Hereford calves as the appropriate diagnostic terms to describe this disease.


Asunto(s)
Alopecia/veterinaria , Anemia Diseritropoyética Congénita/veterinaria , Médula Ósea/ultraestructura , Enfermedades de los Bovinos/patología , Queratosis/veterinaria , Alopecia/congénito , Alopecia/patología , Anemia Diseritropoyética Congénita/patología , Animales , Bovinos , Núcleo Celular/ultraestructura , Cromatina/ultraestructura , Células Precursoras Eritroides/ultraestructura , Femenino , Queratosis/congénito , Queratosis/patología , Macrófagos/ultraestructura , Masculino , Microscopía Electrónica , Membrana Nuclear/ultraestructura , Síndrome
17.
J Am Vet Med Assoc ; 200(6): 812-3, 1992 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-1568927

RESUMEN

Three crossbred gilts developed hind limb paralysis attributable to multiple vertebral body fractures after nonfatal electrical shock. Fractures have been reported in swine and other animals that died from electrocution, but in this case, the pigs were not killed, and lesions that suggested electrical shock were not observed. Electrical shock should be considered as a cause of unexplained spinal cord injury in swine in intensive production units, and electrical service to the pens should be carefully checked.


Asunto(s)
Traumatismos por Electricidad/veterinaria , Parálisis/veterinaria , Traumatismos de la Médula Espinal/veterinaria , Fracturas de la Columna Vertebral/veterinaria , Enfermedades de los Porcinos/etiología , Animales , Traumatismos por Electricidad/complicaciones , Femenino , Miembro Posterior , Vértebras Lumbares/lesiones , Pulmón/patología , Contracción Muscular , Parálisis/etiología , Sacro/lesiones , Médula Espinal/patología , Traumatismos de la Médula Espinal/complicaciones , Traumatismos de la Médula Espinal/etiología , Fracturas de la Columna Vertebral/complicaciones , Fracturas de la Columna Vertebral/etiología , Porcinos
18.
J Vet Diagn Invest ; 4(1): 31-7, 1992 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-1348189

RESUMEN

Congenital dyserythropoiesis with dyskeratosis is a slow, progressive, and often fatal disease in Polled Hereford calves. Affected calves have a macrocytic normochromic anemia with a mild reticulocytosis. Studies indicate that calves are hyperferremic with increased saturation of serum total iron binding capacity, which rules out iron deficiency as a cause. Other secondary causes of dyserythropoiesis, including cobalamin and folate deficiencies, are unlikely because serum cobalamin and folate levels of affected calves were normal. Virus isolation was negative, and failure to identify bovine retroviral antigens or antibodies from several calves suggested that viral agents were not involved. Bone marrow cytologic findings were similar to those in congenital hereditary dyserythropoiesis in humans and included occasional multinucleate cells, internuclear chromatin bridging between nuclei of partially divided cells, and, more frequently, irregular nuclear shapes and chromatin patterns. DNA content and cell cycle distribution of erythroid cells appeared normal, and no electrophoretic abnormalities were detected in erythrocyte membrane proteins. The Polled Hereford syndrome is similar in many ways to type I congenital dyserythropoiesis in humans and may be an appropriate biomedical model for studying erythroid proliferation during dyserythropoiesis.


Asunto(s)
Alopecia/veterinaria , Anemia Diseritropoyética Congénita/veterinaria , Médula Ósea/patología , Enfermedades de los Bovinos/sangre , Fosfatasa Alcalina/sangre , Alopecia/sangre , Alopecia/complicaciones , Alopecia/patología , Anemia Diseritropoyética Congénita/sangre , Anemia Diseritropoyética Congénita/complicaciones , Anemia Diseritropoyética Congénita/patología , Animales , Bovinos , Enfermedades de los Bovinos/patología , Creatinina/sangre , Recuento de Eritrocitos/veterinaria , Índices de Eritrocitos , Citometría de Flujo , Ácido Fólico/sangre , Hematócrito/veterinaria , Hemoglobinas/análisis , Hierro/sangre , Reticulocitos , Síndrome , Vitamina B 12/sangre , gamma-Glutamiltransferasa/sangre
19.
Vet Pathol ; 28(3): 234-40, 1991 May.
Artículo en Inglés | MEDLINE | ID: mdl-1858254

RESUMEN

A new syndrome of anemia, alopecia, and dyskeratosis was identified in Polled Hereford calves in this study. Cutaneous changes included hyperkeratosis and hair loss around the muzzle and ear margins, which progressed to a generalized alopecia and hyperkeratotic dermatitis. Histologically, orthokeratotic hyperkeratosis with dyskeratosis of epidermal and follicular keratinocytes was present. Alopecia was correlated with dyskeratosis of Huxley's layer and an increasing proportion of follicles in the telogen phase of the hair cycle. Dermatitis was characterized by a mild dermal mononuclear cell infiltrate and mild lymphocytic perivascular dermatitis. The anemia present at birth was nonprogressive and was classified as normochromic and normocytic to macrocytic. Reticulocytosis was absent, but bone marrow was markedly hyperplastic. Nuclear cytoplasmic asynchrony of the rubricyte and metarubricyte stages occurred in the bone marrow. Abnormal rubricyte nuclei and maturation arrest at the late rubricyte stage were common. Cytologic features of the erythroid series are similar to those of type I congenital dyserythropoietic anemia of human beings. Genealogic features suggest that this is a primary hereditary defect. The mode of inheritance, however, remains to be determined.


Asunto(s)
Alopecia/veterinaria , Anemia/veterinaria , Enfermedades de los Bovinos/congénito , Queratosis/veterinaria , Alopecia/congénito , Alopecia/genética , Alopecia/patología , Anemia/congénito , Anemia/genética , Anemia/patología , Animales , Médula Ósea/patología , Cruzamiento , Bovinos , Enfermedades de los Bovinos/genética , Enfermedades de los Bovinos/patología , Femenino , Queratosis/congénito , Queratosis/genética , Queratosis/patología , Hígado/patología , Masculino , Miocardio/patología , Linaje , Piel/patología , Síndrome , Glándula Tiroides/patología
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