Skip to main content
Wiley - PMC COVID-19 Collection logoLink to Wiley - PMC COVID-19 Collection
. 2006 Feb 10;43(9):401–405. doi: 10.1111/j.1748-5827.2002.tb00091.x

Hypereosinophilic paraneoplastic syndrome in a cat with intestinal T cell lymphosarcoma

V R Barrs 1, J A Beatty 1, I A McCandlish 2, A Kipar 3,1
PMCID: PMC7166629  PMID: 12238505

Abstract

A 10‐year‐old, neutered female, domestic shorthair cat was presented with a recent history of weight loss, polydipsia, diarrhea and vomiting. On physical examination, intestinal thickening and mesenteric lymph node enlargement were apparent. Clinical investigations revealed peripheral blood eosinophilia, eosinophilic abdominal effusion and eosinophilic mesenteric lymphadenitis. There was a temporary response to treatment with glucocorticoids but signs progressed and the cat was euthanased. On histology, there was eosinophilic infiltration and fibroplasia of intestine and mesenteric lymph nodes. Large aggregates of neoplastic round cells in the intestine and lymph nodes were identified as T lymphocytes using immunohistochemistry. A diagnosis of intestinal T cell lymphosarcoma was made. This case demonstrates that hypereosinophilic paraneoplastic syndrome may occur in cats with lymphosarcoma. Eosinophil chemotaxis may be a response to the production of interleukin‐5 by neoplastic lymphocytes.

References

  1. Alroy, J. , Leav, I. , DeLellis, R. & Weinstein, R. (1975) Distinctive intestinal mast cell neoplasms of domestic cats. Laboratory Investigation 33, 159–167. [PubMed] [Google Scholar]
  2. Andrews, L. K. (1987) Tumors and tumor‐like lesions In: Holzworth Diseases of the Cat. Medicine and Surgery, Vol 1 Ed. J. Dyson W. B. Saunders, Philadelphia .pp 569–579. [Google Scholar]
  3. Blomme, E. A. G. , Foy, S. H. , Chappell, K. H. & La Perle, K. M. D. (1999) Hypereosinophilic syndrome with Hodgkin's‐like lymphoma in a ferret. Journal of Comparative Pathology 120, 211–217. [DOI] [PubMed] [Google Scholar]
  4. Bortnowski, H. B. & Rosenthal, R. C. (1992) Gastro intestinal mast cell tumors and eosinophilia in two cats. Journal of the American Animal Hospital Association 28, 271–275. [Google Scholar]
  5. Brugnoni, D. , Rossi, G. , Bettinardi, A. , Simon, H. U. , Garza, L. , Tosoni, C. , Catteneou, R. , Blaser, K. & Tucci, A. (1996) A case of hypereosinophilic syndrome is associated with the expansion of a CD3‐CD4+ T cell population able to secrete large amounts of interleukin‐5. Blood 87, 1416–1422. [PubMed] [Google Scholar]
  6. Center, S. A. , Randolph, J. F. , Erb, H. N. & Reiter, S. (1990) Eosinophilia in the cat: A retrospective study of 312 cases (1975 to 1986). Journal of the American Animal Hospital Association 26, 349–358. [Google Scholar]
  7. Cogan, E. , Schandene, L. , Crusiaux, A. , Cochaux, P. , Velu, T. & Goldman, M. (1994) Brief report: Clonal proliferation of type 2 helper T cells in a man with the hypereosinophilic syndrome. New England Journal of Medicine 330, 535–538. [DOI] [PubMed] [Google Scholar]
  8. Fossum, T. W. , Wellman, M. , Relford, R. L. & Slater, M. R. (1993) Eosinophilic pleural or peritoneal effusions in dogs and cats: 14 cases (1986–1992). Journal of the American Veterinary Medical Association 202, 1873–1876. [PubMed] [Google Scholar]
  9. Graham, J. C. (1997) Current concepts in gastrointestinal neoplasia In: Consultations in Feline Internal Medicine 3. Ed. J. R. August W. B. Saunders, Philadelphia .pp 99–103. [Google Scholar]
  10. Harris, N. L. , Jaffe, E. S. , Stein, H. , Banks, P. M. , Chan, J. K. C. , Cleary, M. L. , Delsol, G. , De Wolf‐Peeters, C. , Falini, B. , Gatter, K. C. , Grogan, T. M. , Isaacson, P. G. , Knowles, D. M. , Mason, D. Y. , Muller‐Hermelink, H. K. , Pileri, S. A. , Piris, M. A. , Ralfkiaer, E. & Warnke, R. A. (1994) A revised European‐American classification of lymphoid neoplasms: a proposal from the International Lymphoma Study Group. Blood 84, 1361–1392. [PubMed] [Google Scholar]
  11. Hendrick, M. (1981) A spectrum of hypereosinophilic syndromes exemplified by six cats with eosinophilic enteritis. Veterinary Pathology 18, 188–200. [DOI] [PubMed] [Google Scholar]
  12. Howl, J. H. & Petersen, M. G. (1995) Intestinal mast cell tumor in a cat: Presentation as eosinophilic enteritis. Journal of the American Animal Hospital Association 31, 457–461. [DOI] [PubMed] [Google Scholar]
  13. Huibregtse, B. A. & Turner, J. L. (1994) Hypereosinophilic syndrome and eosinophilic leukemia: A comparison of 22 hypereosinophilic cats. Journal of the American Animal Hospital Association 30, 590–599. [Google Scholar]
  14. Kipar, A. , Bellmann, S. , Kremendahl, J. , Köhler, K. & Reinacher, M. (1998) Cellular composition, coronavirus antigen expression and production of specific antibodies in lesions of feline infectious peritonitis. Veterinary Immunology and Immunopathology 65, 243–257. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Kovacevic, S. , Kipar, A. , Kremendhal, J. , Teebken‐Schuler, D. , Grant, C. K. & Reinacher, M. (1997) Immunohistochemical diagnosis of feline leukemia virus infection in formalin‐fixed tissue. European Journal of Veterinary Pathology 3, 13–19. [Google Scholar]
  16. Lapointe, J‐M. , Higgins, R. J. , Kortz, G. D. , Bailey, C. S. & Moore, P. F. (1997) Intravascular malignant T cell lymphoma (Malignant angioendotheliomatosis) in a cat. Veterinary Pathology 34, 247–250. [DOI] [PubMed] [Google Scholar]
  17. La Perle, K. M. D. , Piercy, R. J. , Long, J. F. & Blomme, E. A. G. (1998) Multisystemic, eosinophilic, epitheliotropic disease with intestinal lymphosarcoma in a horse. Veterinary Pathology 35, 144–146. [DOI] [PubMed] [Google Scholar]
  18. McEwen, S. A. , Valli, V. E. O. & Hulland, T. J. (1985) Hypereosinophilic syndrome in cats: A report of three cases. Canadian Journal of the Compendium of Medicine 49, 248–253. [PMC free article] [PubMed] [Google Scholar]
  19. Moore, R. P. (1983) Feline eosinophilic enteritis In: Current Veterinary Therapy VIII. Ed. R. W. Kirk W. B. Saunders, Philadelphia .pp 791–793. [Google Scholar]
  20. Muir, P. , Gruffydd‐Jones, T. J. & Brown, P. J. (1993) Hypereosinophilic syndrome in a cat. Veterinary Record 132, 358–359. [DOI] [PubMed] [Google Scholar]
  21. Navarro‐Roman, L. , Medeiros, J. , Kingma, D. W. , Zarateosorno, A. , Ngyuen, V. , Samoszuk, M. & Jaffe, E. S. (1994) Malignant lymphomas of B‐cell lineage with marked tissue eosinophilia. American Journal of Surgical Pathology 18, 347–356. [DOI] [PubMed] [Google Scholar]
  22. Osbaldiston, G. W. & Sullivan, R. J. (1978) Cytochemical demonstration of esterases in peripheral blood leukocytes. American Journal of Veterinary Research 39, 683–685. [PubMed] [Google Scholar]
  23. Padrid, P. (2000) CVT update: Feline asthma In: Current Veterinary Therapy XIII. Ed. J. D. Bonagura W. B. Saunders, Philadelphia .pp 805–810. [Google Scholar]
  24. Peaston, A. E. & Griffey, S. M. (1994) Visceral mast cell tumour with eosinophilia and eosinophilic peritoneal and pleural effusions in a cat. Australian Veterinary Journal 71, 215–217. [DOI] [PubMed] [Google Scholar]
  25. Perkins, M. C. & Watson, A. D. J. (2001) Successful treatment of hypereosinophilic syndrome in a dog. Australian Veterinary Journal 79, 686–689. [DOI] [PubMed] [Google Scholar]
  26. Plotnick, A. (1994) Hypereosinophilic syndrome in a cat. Feline Practice 22, 28–31. [Google Scholar]
  27. Poppema, S. & vanden Berg, A. (2000) Interaction between host T cells and Reed‐Sternberg cells in Hodgkin lymphomas. Seminars in Cancer Biology 10, 345–350. [DOI] [PubMed] [Google Scholar]
  28. Prasse, K. W. , MaHaffey, E. A. , Cotter, S. M. & Holzworth, J. (1987) Hematology of normal cats and characteristic responses to disease In: Holzworth Diseases of The Cat. Medicine and Surgery, Vol 1 Ed. J. Dyson W. B. Saunders, Philadelphia .pp 739–754. [Google Scholar]
  29. Samoszuk, M. (1997) Eosinophils and human cancer. Histology and Histopathology 12, 807–812. [PubMed] [Google Scholar]
  30. Samoszuk, M. , Ramzi, E. & Cooper, D. L. (1993) Interleukin‐5 mRNA in three T cell lymphomas with eosinophils. American Journal of Haematology 42, 402–404. [DOI] [PubMed] [Google Scholar]
  31. Saxon, B. , Hendrick, M. & Waddle, J. R. (1991) Restrictive cardiomyopathy in a cat with hypereosinophilic syndrome. Canadian Veterinary Journal 32, 367–369. [PMC free article] [PubMed] [Google Scholar]
  32. Scott, D. W. , Randolph, J. F. & Walsh, K. M. (1985) Hypereosinophilic syndrome in a cat. Feline Practice 15, 22–27. [Google Scholar]
  33. Sellon, R. K. , Rottman, J. B. , Jordan, H. L. , Wells, M. R. , Simpson, M. , Nelson, P. & Keene, B. W. (1992) Hypereosinophilia associated with transitional cell carcinoma in a cat. Journal of the American Veterinary Medical Association 201, 591–593. [PubMed] [Google Scholar]
  34. Wilson, S. C. , Thomson‐Kerr, K. & Houston, D. M. (1996) Hypereosinophilic syndrome in a cat. Canadian Veterinary Journal 37, 679–680. [PMC free article] [PubMed] [Google Scholar]
  35. Zwhalen, C. H. , Lucroy, M. D. , Kraegal, S. A. & Madewell, B. R. (1998) Results of chemotherapy for cats with alimentary malignant lymphoma: 21 cases (1993–1997). Journal of the American Veterinary Medical Association 213 1144–1149. [PubMed] [Google Scholar]

Articles from The Journal of Small Animal Practice are provided here courtesy of Wiley

RESOURCES