department of animal medicine deficiencies.pdf · romany ezat metery remon magdy shaker remon lotfy...
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Faculty of VeterinaryFaculty of Veterinarymedicinemedicine
DEPARTMENT OFDEPARTMENT OF
ANIMALANIMALMEDICINEMEDICINE
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Researchon
Nutritional deficienciescaused by
Macroelements and Microelementswith special regard to
White Muscle DiseaseAs a result of Selenium deficiency
Supervised by:
Prof. Dr. Ahmed Abd ElFattah AamerProf. Dr. Hamdy Abd ElHamid
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Sherif Wageh LouisSherif Wageh Louis
Remon Fayez NassemRemon Fayez Nassem
Shady Refat AnisShady Refat Anis
Romany Ezat MeteryRomany Ezat Metery
Remon Magdy ShakerRemon Magdy Shaker
Remon Lotfy ZakherRemon Lotfy Zakher
Salem Masoud AbdElMasehSalem Masoud AbdElMaseh
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IntroductionIntroduction
No doubt that the nutritional deficiencies are one of the most common &important problems that hinder any progress in the field of animal breeding & production
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a lack or shortagea lack or shortage= = DeficiencyDeficiency
General Causes:. Decrease or absence of the supplement in diet
. Abnormal absorption
. Abnormal utilization
. Supplement is given under the level of the body requirements
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We have chosen the subject of the deficiency of the macroelements and microelements as a general background
In the end we will fully discuss one of the most interesting topics in our study:
The White Muscle Disease
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Macro elementsMacro elements
Calcium PhosphorusCalcium Phosphorus
Potassium SodiumPotassium Sodium
Chlorine Sulfur Chlorine Sulfur
MagnesiumMagnesium
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CALCIUMCALCIUM
1. Skeleton and teeth structure (contain 99% 1. Skeleton and teeth structure (contain 99% body calcium), combined with phosphorusbody calcium), combined with phosphorus
(the ability of the calcium to be resorbed during (the ability of the calcium to be resorbed during periods of high calcium demand e.g. early periods of high calcium demand e.g. early lactation).lactation).
2. Essential cofactor for many enzyme systems, including those needed for nervous transmission and muscle contraction.
Biological functions
3. Play an important role in blood coagulation
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Deficiency symptomsDeficiency symptoms
1. Rickets 1. Rickets -- misshapen bones, joint enlargement misshapen bones, joint enlargement animalsanimalsgrowinggrowinglameness in lameness in
animalsadultbrittle bone in -2. Osteomalacia
3. Milk fever (parturient paresis) - most common in dairy cows soon after calving; recumbency, muscular spasms followed by paralysis, unconsciousness and death if not treated.
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Dietary sourcesDietary sources
-- MilkMilk-- Green leafy cropsGreen leafy crops-- Animal byAnimal by--products e.g. fish meal, meat and products e.g. fish meal, meat and bone bone -- Mineral supplements e.g. ground limestone Mineral supplements e.g. ground limestone (CaCO(CaCO33),dicalcium phosphate (Ca),dicalcium phosphate (Ca22POPO4)4)
Cereals are poor sources of CalciumCereals are poor sources of Calcium
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Calcium: phosphorus ratio
Because of interdependence of calcium and phosphorus utilization, an abnormal dietary ratio may be as harmful as a deficiency of either in the diet.
Generally aim for ratio of 1:1 to 2:1
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PHOSPHORUSPHOSPHORUS
1. Skeleton, teeth1. Skeleton, teeth
Biological functions
2. Vitally important in various aspects of energy metabolism e.g. ATP, sugar phosphates.
3. Enter in the structure of phosphoproteins, nucleic acids and phospholipids .
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Dietary symptomsDietary symptoms
1. Rickets or osteomalacia 1. Rickets or osteomalacia
2. Pica (depraved appetite) - chewing of wood, bones, etc
3. Stiff joints, muscular weakness
4. Low fertility.
5. Subnormal milk-yield-and-growth
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Soft rips due to phosphorus deficiency
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PicaPica : : animal chewing a piece of boneanimal chewing a piece of bone
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Locomotor disturbance due to stiff joint
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6.Post-Parturient haemoglobinurea
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Dietary sourcesDietary sources
-- MilkMilk-- Cereal grainsCereal grains-- Animal byproducts.Animal byproducts.-- Grass hays and straws are poor sources. Grass hays and straws are poor sources.
Availability decreased when present in Availability decreased when present in phytate salts e.g. in cereal grainsphytate salts e.g. in cereal grains
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POTASSIUMPOTASSIUM
1. Regulation of osmotic and acid1. Regulation of osmotic and acid--base balance base balance (with sodium, chlorine and bicarbonate ions) (with sodium, chlorine and bicarbonate ions)
Biological functions
2. Major cation of intracellular fluid, with special role in ionic basis of nerve and muscle excitability
3. Cofactor for several reaction in carbohydrate metabolism
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Deficiency symptomsDeficiency symptoms
Generally rare in forage-fed animals
Reduced growth, paralysis occasionally seen in calves fed milk replacer low in potassium
Dietary excess more common (rapidly excreted in urine).
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Dietary sourcesDietary sources
Very high in green forages and hays
Lower in cereal grains
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SODIUMSODIUMBiological functions
1. Regulation of acid-base and osmotic balance of body fluids
2. Major cation of extracellular fluid, with special roles in nervous transmission and active transport of sugars and amino acids.
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Deficiency symptomsDeficiency symptoms
1. Decreased extracellular osmotic pressure and dehydration.
2. Poor growth.
3. Inefficient utilization of digested protein and energy.
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Dietary sourcesDietary sources
Animal byproducts are good sources
Most plants are poor sources
Supplemented when necessary as common salts.
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CHLORINECHLORINE
Biological functions
1. Acid-base and osmotic regulation
2. HCl and chloride salts in gastric secretions
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Deficiency symptomsDeficiency symptoms
1. Metabolic alkalosis (increased bicarbonate compensates for decreased chloride).
2. Growth retardation
Sodium, rather chlorine, is probably the main limiting factor in salt-deficient diets of cattle and sheep
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Dietary sources
Animal byproducts are good sources
Most plants are poor sources
Note:1. Because most plants are low in sodium and chlorine, it is usual to supplement diet of herbivores with common salt.
2. Over supplementation of salt can be harmful, causing excessive thirst, muscular weakness and edema
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SULFURSULFURBiological functions
1. Integral component of sulfur amino acids, cystine, cysteine and methionine, which have many important biological roles e.g. synthesis of bioactive (insulin, glutathione) and structural proteins (keratin - wool contains ~ 4% sulfur).
2. Chondroitin sulfate is a constituent of cartilage
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Deficiency symptoms
1. Usually associated with protein deficiency
2. Reduced feed intake and cellulose possible where urea is used as replacement for protein nitrogen, resulting in reduced body and wool growth
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Dietary sources
Most dietary proteins are generally adequate in sulfur amino acids
Inorganic sulfates can be fed as supplements with urea to balance N:S ratio (10-12:1 is desirable).
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MAGNESIUMMAGNESIUMBiological functions
Closely associated with calcium and phosphorus
About 70% of total magnesium is in skeleton, remainder in soft tissues and fluids
Commonest enzyme activation e.g. pyruvate dehydrogenase (pyruvate-acetyl CoA).
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Deficiency symptoms
1. Young animals e.g. milk-fed calves - low plasma magnesium, depleted bone magnesium, tetany, death if untreated
2. Hypomagnesemic tetany (grass tetany) in cattle, especially dairy cows in early lactation -low plasma magnesim (normal range 1.7-4.0 mg/dl), often associated with low plasma calcium,Nervous irritability, twitching, staggering gait,
recumbency, convulsions, death if untreated
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Hypomagnesaemia in a cow
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Ewe with acute hypomagnesaemic tetany
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Dietary sources
Wheat bran, most vegetable protein concentrates are good sources; legumes are better than grasses; variable in forage crops
Most frequently supplemented as magnesium oxide.
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TRACE ELEMENTS TRACE ELEMENTS
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IRONIRON
1. >90% body iron is associated with 1. >90% body iron is associated with proteins, >50% as hemoglobin; vitally proteins, >50% as hemoglobin; vitally important for oxygen transport in blood. important for oxygen transport in blood.
2. Heme is also a component of oxidizing enzymes e.g. cytochrome peroxidase c,
3. Absorbed iron is transported in blood plasma in the protein transferrin, and stored in spleen, liver, kidney and bone marrow in the protein ferritin.
Biological functions
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Deficiency symptomsDeficiency symptoms
AnemiaAnemia, especially in young milk, especially in young milk--fed fed animals without access to soil or animals without access to soil or pasture, most common in pigs. pasture, most common in pigs.
Characterized by:Characterized by:
-- poor appetite and growthpoor appetite and growth
-- labored and spasmodic breathing labored and spasmodic breathing
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Dietary sourcesDietary sources
Green leafy plants and seed coats are goodGreen leafy plants and seed coats are good
Animal byproducts (meat meal, fishmeal) are Animal byproducts (meat meal, fishmeal) are excellentexcellent
Milk is poorMilk is poor..
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COPPERCOPPER
1. Essential for normal absorption, transport 1. Essential for normal absorption, transport and mobilization of iron, and for and mobilization of iron, and for hemoglobin synthesis.hemoglobin synthesis.
2. Integral component of many enzymes
(e.g. cytochrome oxidase and non-enzyme proteins).
3. Stored in most body tissues, especially liver.
Biological functions
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Deficiency symptomsDeficiency symptoms
1. Anemia1. Anemia
2. Depigmentation of hair and wool (black sheep are sometimes kept as indicators of marginal copper deficiency); loss of wool crimp ("steely" wool).
3. Bone disorders leading to joint swelling and lameness.
4. Central nervous lesions associated with muscular incoordination (ataxia) in young lambs and calves.
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Unthrifty and enlarged fitlock
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Enlargement of fetlock joint
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Widening and irregularity of the metacarpal physes
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Chronic diarrhea and unthriftiness
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Lamb unable to stand due to cavitations in the cerebrum “congenital sway back”
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Loss of normal wool shape
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Dietary sourcesDietary sources
Widely distributed in animal feeds but Widely distributed in animal feeds but may be low in pastures grown on may be low in pastures grown on coppercopper--deficient soilsdeficient soils
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Biological functionsBiological functions
1. Essential component of vitamin B12, a 1. Essential component of vitamin B12, a precursor of coenzymes for several precursor of coenzymes for several important metabolic reactions which is important metabolic reactions which is synthesized by rumen bacteriasynthesized by rumen bacteria
2. Probable activator of some enzyme reactions.
COBALT
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Wasting diseaseWasting disease in ruminants, characterized by:in ruminants, characterized by:. Emaciation. Emaciation. Anemia. Anemia. Listlessness. ListlessnessAlleviated by dietary supplementation with Alleviated by dietary supplementation with
cobalt, or parenteral administration of vitamin cobalt, or parenteral administration of vitamin B12.B12.
Deficiency symptomsDeficiency symptoms
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Emaciation with poor hair coat
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Unthrifness with ocular discharge
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Friable liver duo to cobalt deficiency
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Dietary sourcesDietary sources
Trace amounts are present in most feeds, Trace amounts are present in most feeds, pastures may be deficient on cobaltpastures may be deficient on cobalt--deficient soils. deficient soils.
Can be supplemented in salt licks, as a cobalt Can be supplemented in salt licks, as a cobalt bullet placed in the reticulum, or by fertilizing bullet placed in the reticulum, or by fertilizing deficient pastures with cobalt sulfatedeficient pastures with cobalt sulfate..
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Cobalt toxicityCobalt toxicity
Very unlikely under normal conditionsVery unlikely under normal conditions--wide margin between minimum wide margin between minimum requirement and toxic levels; poorly requirement and toxic levels; poorly retained in tissues.retained in tissues.
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IODINEIODINE
Essential for synthesis of the thyroid Essential for synthesis of the thyroid hormones, thryroxine and hormones, thryroxine and triiodothyroninetriiodothyronine..
Thyroid hormones are required for normal skeletal, nervous and sexual development, and for synthesis of enzymes involved in oxidative reactions e.g. cytochrome enzymes.
Biological functionsBiological functions
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Deficiency symptomsDeficiency symptoms
1. Goiter (enlarged thyroid gland causes 1. Goiter (enlarged thyroid gland causes swollen neck).swollen neck).
2. Reproductive failure.
3.Neonatal mortality
4.Anoroxia
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Goiter
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Dietary sourcesDietary sources
Traces in most feeds; especially high in Traces in most feeds; especially high in marine plants (seaweeds) and fishmeal; marine plants (seaweeds) and fishmeal; deficient in plants grown on iodinedeficient in plants grown on iodine--deficient soils. deficient soils.
Can be supplemented as iodized salt (sodium or potassium).
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Iodine toxicityIodine toxicity
Minimum toxic dietary level varies widely Minimum toxic dietary level varies widely between species. between species.
Toxicity associated with:Toxicity associated with:. Decreased feed intake. Decreased feed intake. Decreased weight gain. Decreased weight gain. Egg production. Egg production
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MANGANESEMANGANESE
Biological functionBiological function
Present in body in extremely small amounts; important activator of several TCA cycle enzymes.
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Deficiency symptomsDeficiency symptoms
. Retarded growth. Retarded growth
. Skeletal abnormalities. Skeletal abnormalities
. Neonatal ataxia . Neonatal ataxia
. Reproductive failure occasionally observed in . Reproductive failure occasionally observed in pigs, poultry and housed ruminants.pigs, poultry and housed ruminants.. Involved, but not exclusively, in development of perosis (slipped tendon malformation of leg bones) in young chicks.
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Congenital twisting and flexion of enlarged fitlock
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DietaryDietary sourcessources
Widely distributed in animal feeds; Widely distributed in animal feeds; adequate levels in most forages and adequate levels in most forages and grains but low in corn and most grains but low in corn and most animal byproducts.animal byproducts.
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Manganese toxicityManganese toxicity
Wide margin of safety between Wide margin of safety between normal feed levels and toxic dose.normal feed levels and toxic dose.
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ZINC ZINC Biological functionBiological function
1. Integral component of several important enzymes e.g. carbonic anhydrase, pancreatic carboxypeptidases, glutamic dehydrogenase, pyridine nucleotide dehydrogenases.
2. Cofactor for many other enzymes.
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Deficiency symptomsDeficiency symptoms
1. Subnormal growth, depressed appetite, poor 1. Subnormal growth, depressed appetite, poor feed conversion in pigs.feed conversion in pigs.
2. Parakeratosis (skin inflammation followed by eruptions which develop into scabs) in young pigs and calves.
3. Deficiency may be aggravated by high dietary calcium levels and alleviated by decreasing dietary calcium and/or calcium: phosphorus ratio.
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Parakeratosis with crust around the eye
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Dietary sourcesDietary sources
Availability may be decreased by phytates in Availability may be decreased by phytates in some cereal grains.some cereal grains.
Yeast, cereal bran and germ are rich sources.Yeast, cereal bran and germ are rich sources.
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MOLYBDENUMMOLYBDENUM
Biological functionBiological function
Integral component and probable cofactor of several oxidase enzymes e.g. xanthine oxidase (involved in purine metabolism).
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Deficiency symptomsDeficiency symptoms
1. Reduced growth and uric acid production 1. Reduced growth and uric acid production in chicks (uric acid, not urea, is principal in chicks (uric acid, not urea, is principal end product of nitrogen catabolism in end product of nitrogen catabolism in birds).birds).
2. Reduced growth in lambs, related to poor ruminal cellulose digestion.
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Molybdenum toxicityMolybdenum toxicity
Manifested via reduced copper availability, Manifested via reduced copper availability, usually associated with high sulfur intake. usually associated with high sulfur intake. Characterized byCharacterized by diarrheadiarrhea and and weight lossweight loss, , especially in young calves and lactating especially in young calves and lactating cows; also observed in sheep.cows; also observed in sheep.
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SELENIUMSELENIUM
Biological functionBiological function
Component of the enzyme Glutathione peroxidase, which catalyzes removal of hydrogen peroxide and protects cells from autooxidative damage.
Shares this role with vitamin E
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Deficiency symptomsDeficiency symptoms
1. Poor weight gain in calves and lambs, 1. Poor weight gain in calves and lambs, and impaired wool growth in lambs.and impaired wool growth in lambs.
2. Skeletal and cardiac myopathies (muscle degradation, white muscle disease) in lambs and calves.
3. Reduced hatchability and egg production in hens.
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Selenium toxicitySelenium toxicity
"Alkali disease" or "blind staggers" can occur "Alkali disease" or "blind staggers" can occur in ruminants and horses grazing certain in ruminants and horses grazing certain pasture species grown on seleniferous pasture species grown on seleniferous soils soils
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White muscle diseaseWhite muscle diseaseNutritional muscular dystrophyNutritional muscular dystrophy Myodegenerative syndrome
Definition
Acute or chronic disease most seen in sheep less frequent in claves and foals, characterized by degenerative changes of the cardiac and skeletal muscles.
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Susceptibility
. Sheep up to 6 months of age, Calves 2-4 months , young foals
. Acute course is seen in fast growing lambs at three to eight weeks of age
. Pregnant ewes which are severely deficient in vitamin E and/or selenium may produce stillborn progeny, or weakly lambs which only survive for a few days before dying of acute heart failure
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Predisposing factorsPredisposing factors
It is quite common for the disease to show up :It is quite common for the disease to show up :. after forced exercise . after forced exercise . vaccination procedures. vaccination procedures. sorting. sorting. weaning. weaning
. fitting. fitting
Main CauseMain Cause
Lack of Selenium, Vitamin E or both Lack of Selenium, Vitamin E or both
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Selenium (as a component of an enzyme called glutathione peroxidase ) and Vitamin E have synergistic, and in the same time independent roles in the protection of the integrity of the
damaging effectsagainst the cell membranesof lipid peroxides and free radicals produced during normal metabolism
Pathogenesis
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In the absence of Selenium & Vitamin E
Damage the unsaturated fatty acids found in the cell membrane
Tissues or cells which undergo rapid oxidative metabolismincreases in
Degeneration and necrosis of cells & tissues of the muscle
Skeletal muscles may regenerate
Myocardial muscles undergo Fibrosis
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Clinical signsClinical signs
. Chronic lameness. Chronic lameness
. Weakness, animal lie down unwilling to move
. Swollen hindquarters
In severe cases sudden death may occur from heart failure
. Mild stiffness and discomfort
. Muscular tremors if the animal is forced to stand for few minutes
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The The leg musclesleg muscles are generally affected are generally affected firstfirst, , any muscle area including cardiac muscle may any muscle area including cardiac muscle may be affected. Chronic or borderline deficiencies be affected. Chronic or borderline deficiencies may result in lung edema resulting in increased may result in lung edema resulting in increased pneumonia problems pneumonia problems
. Those who are mobile, they may have arched backs and appear to have tucked in flanks
. Breathing difficulties may be observed when the muscles controlling breathing are involved
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WMD sheep: arching back
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PM ExaminationPM Examination
Pale appearance of the skeletal & respiratory muscles ,as they become friable ,edematous and may be calcified
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The pelvic girdle muscles of a weaned aged sheep
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Marked bilateral distribution of the lesions in back
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Necropsy showing pale streaky muscles
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Acute muscle necrosis with fragmentation
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In the Heart: White areas of degeneration are visible particularly under the endocardium of the ventricles
ACUTE MYOCARDIALDEGENERATION
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Cardiac white muscle of a lamb
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Heart muscle showing White Muscle Disease lesions
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Diagnosis
Based on:
. Case history
. Clinical signs
. PM examination
. Differential Diagnosis
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Differential diagnosisDifferential diagnosis
Tetanus:tetanus lambs become very rigid and the lambs with white muscle become flaccid.
Lambs with intestinal displacement act similar but exhibit pain and generally die within hours, and usually fewer are affected
Intestinal displacement
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Control/prevention:
If area is deficient in Se, best prevention is to supplement
A common practice is to inject a Se- Vitamin E shot at birth and again at about 30 days
Another alternative is to feed supplemental Selenium at 0.3 ppm
Have to be careful not to add too much and cause toxicity
Blood and tissue levels of Selenium and Vitamin E are necessary in order to determine the proper supplementation
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TreatmentTreatment is accomplished by the use of both Vitamin E and Selenium because the condition may be caused by a deficiency of Selenium, Vitamin E or both
- Injection- To affected and newborn lambs of WMD.
- Internal diet- all hay, especially legumes, should contain adequate amounts of vitamin E. If none is available, injections may be given to provide the requirement
Avoid overdosing of Selenium- can cause toxicity!
. affected- injections of sodium selenite-vit E . newborns- injections of Bo- Se
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ReferencesReferences
.Department Notebook
.The Internet
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Special thanks
Prof. Dr. Ahmed AbdElfattah Amer
For his guidance and support Not only during the editing of that research,
but all over the last two years.Doing his best helping us to understand the fundamentals of the veterinary diagnosis.
Explaining whatever was difficult for us to understandEncouraging us to develop new skills,
technical skills in the field of veterinary medicine,or even individual skills.
Thank you