Síndrome de pandora em felinos
Revisão de literatura
DOI:
https://doi.org/10.35172/rvz.2017.v24.239Palavras-chave:
urologia, gatos, bexiga urinária, micçãoResumo
A síndrome de Pandora é uma doença de caráter multifatorial onde outras etiologias sistêmicas
podem influenciar sinais clínicos em um órgão alvo. Em gatos com doença do trato urinário
inferior crônicas e idiopáticas, o diagnóstico além de ser por exclusão, deve preencher no
mínimo três outros critérios para que a síndrome seja ocorrente. Seu tratamento fundamental
baseia-se na eliminação de fatores estressantes bem como o enriquecimento ambiental.
Referências
1. Forrester SD, Towell TL. Feline idiopathic cystitis. Vet Clin Small Anim. 2015;45(4):783-
806. doi: http://dx.doi.org/10.1016/j.cvsm.2015.02.007.
2. Buffington CA. Idiopathic cystitis in domestic cats – beyond the lower urinary tract. J Vet
Intern Med. 2011;25(4):784-96. doi: 10.1111/j.1939-1676.2011.0732.x.
3. Reche Junior A, Camozzi RB. Doença do trato urinário inferior dos felinos – Cistite
intersticial. In: Jerico MM, Andrade neto JP, Kogika MM. Tratado de medicina interna de
cães e gatos. 1a ed. São Paulo: Roca; 2015. v.2. p.1483-92.
4. Kruger JM, Osborne CA, Lulich JP. Changing paradigms of feline idiopathic cystitis. Vet
Clin North Am Small Anim Pract. 2009;39:15-40. doi: 10.1016/j.cvsm.2008.09.008.
5. Osbaldiston GW, Taussig RA. Clinical report on 46 cases of feline urological syndrome. Vet
Med Small Anim Clin [Internet]. 1970 [cited 2016 Jan 26];65:461-8. Available from:
https://www.researchgate.net/publication/17970109_Clinical_report_on_46_cases_of_felin
e_urological_syndrome
6. Osborne CA, Johnston GR, Polzin DJ, Kruger JM, Poffenbarger EM, Bell FW, et al.
Redefinition of the feline urologic syndrome: feline lower urinary tract disease with
heterogeneous causes. Vet Clin North Am Small Anim Pract [Internet]. 1984 [cited 2016
Jan 26];14(3):409-38. Available from:
https://www.researchgate.net/publication/16766229_Redefinition_of_feline_urologic_synd
rome_Feline_lower_urinary_tract_disease_with_heterogenous_causes
7. Buffington CA, Chew DJ, Woodworth BE. Feline interstitial cystitis. J Am Vet Med Assoc.
1999;215(5):682–687.
8. Feinstein AR. The Blame-X syndrome: problems and lessons in nosology, spectrum, and
etiology. J Clin Epidemiol. 2001;54(5):433-9. doi: 10.1016/S0895-4356(00)00374-7.
9. Chew DJ, Schenck P, DiBartola SP. Non obstructive idiopathic or interstitial cystitis in cats.
In: Chew DJ, Schenck P, DiBartola SP. Canine and feline nephrology and urology. 2nd ed.
Missouri: Saunders Elsevier; 2011. p.306-40.
10. Hostutler RA, Chew DJ, DiBartola SP. Recent concepts in feline lower urinary tract
disease. Vet Clin North Am Small Anim Pract. 2005;35(1):147-70. doi:
10.1016/j.cvsm.2004.08.006.
11. Pereira DA, Aguiar JA, Hagiwara MK, Michelacci YM. Changes in cat urinary
glycosaminoglycans with age and in feline urologic syndrome. Biochim Biophys Acta.
2004;1672(1):1-11. doi: 10.1016/j.bbagen.2004.02.002.
12. Gunn-moore DA. Feline lower urinary tract disease. J Feline Med Surg. 2003;5(2):133-8.
doi: 10.1016/S1098-612X(02)00129-8.
13. Westropp JL, Buffington CA. Feline idiopathic cystitis: current understanding of
pathophysiology and management. Vet Clin North Am Small Anim Pract.
2004;34(4):1043-55. doi: 10.1016/j.cvsm.2004.03.002.
14. Buffington CA, Westropp JL, Chew DJ. From FUS to Pandora SYNDROME. Where are
we, how did we get here, and where to now? J Feline Med Surg. 2014;16(5):385-394. doi:
10.1177/1098612X14530212.
15. Buffington CA, Westropp JL, Chew DJ, Bolus RR. Clinical evaluation of multimodal
environmental modification (MEMO) in the management of cats with idiopathic cystitis. J
Feline Med Surg. 2006;8:261-268. doi: 10.1016/j.jfms.2006.02.002.
16. Seawright A, Casey R, Kiddie J, Murray J, Gruffydd-Jones T, Harvey A, et al. A case of
recurrent feline idiopathic cystitis: the control of clinical signs with behavior therapy. J
Vet Behav. 2008;3(1):32-38. doi: 10.1016/j.jveb.2007.09.008.
17. Ellis SLH, Rodan I, Carney HC, Heath S, Rochlitz I, Shearburn LD, et al. AAFP and ISFM
feline environmental needs guidelines. J Feline Med Surg. 2013;15(3):219-230. doi:
10.1177/1098612X13477537.
18. Heath S, Wilson C. Canine and feline enrichement in the home and kennel: a guide for
practitioners. Vet Clin North Am Small Anim Pract. 2014;44(3):427-49. doi:
10.1016/j.cvsm.2014.01.003.
19. Frank D, Beauchamp G, Palestrini C. Systematic review of the use of pheromones for
treatment of undesirable behavior in cats and dogs. J Am Vet Med Assoc.
2010;236(12):1308-16. doi: 10.2460/javma.236.12.1308.
20. Forrester SD, Roudebush P. Evidence-based management of feline lower urinary tract
disease. Vet Clin North Am Small Anim Pract. 2007;37(1):533–558. doi:
10.1016/j.cvsm.2007.01.009.
21. Alramadhan E, Hanna MS, Hanna MS, Goldstein TA, Avila SM, Weeks BS. Dietary and
botanical anxiolytics. Med Sci Monit. 2012;18(4):40-8. doi: 10.12659/MSM.882608.
22. Pereira GG, Fragoso S, Pires E. Effect of dietary intake of L-tryptophan supplementation
on multihoused cats presenting stress related behaviors. In: Proceedings of BSAVA; 2010;
Birmingham. Birmingham: BSAVA; 2010 [cited 2016 Fb 12]. Available from:
http://www.ecuphar.com/newsroom/BSAVA-cats.pdf
23. Beata C, Beaumont-Graff E, Coll V, Cordel J, Marion M, Massal N, et al. Effect of alphacasozepine (Zylkene) on anxiety in cats. J Vet Behav. 2007;2:40-6. doi:
10.1016/j.jveb.2007.02.002.
24. Markwell PJ, Buffington CA, Chew DJ, Kendall MS, Harte JG, DiBartola SP. Clinical
evaluation of commercially available urinary acidification diets in the management of
idiopathic cystitis in cats. J Am Vet Med Assoc [Internet]. 1999 [cited 2016 Feb
12];214(3):361-5. Available from: http://europepmc.org/abstract/med/10023397
25. Gunn-moore DA, Shenoy CM. Oral glucosamine and the management of feline idiopathic
cystitis. J Feline Med Surg. 2004;6(4):219-25. doi: 10.1016/j.jfms.2003.09.007.
26. Reynolds BS, Chetboul V, Nguyen P, Testault I, Concordet DV, Carlos Sampedrano C, et
al. Effects of dietary salt intake on renal function: a 2-year study in healthy aged cats. J Vet
Intern Med. 2013;27(3):507-15. doi: 10.1111/jvim.12074.
27. Calder PC. n-3 polyunsaturated fatty acids, inflammation, and inflammatory diseases. Am
J Clin Nutr [Internet]. 2006 [cited 2015 Dec 21];83:1505S-19S. Available from:
http://ajcn.nutrition.org/content/83/6/S1505.full.pdf+html
28. Singh U, Devaraj S, Jialal I. Vitamin E, oxidative stress, and inflammation. Annu Rev Nutr.
2005;25:151-74. doi: 10.1146/annurev.nutr.24.01200 3.132446.
29. Buffington CA, Chew D, Kruger J, Bartages J, Adams L. Evaluation of pentosan
polysulfate sodium in the treatment of feline interstitial cystitis - a randomized, placebocontrolled clinical trial. J Urol. 2011;185:e382. doi:
http://dx.doi.org/10.1016/j.juro.2011.02.897.
30. Chew DJ, Buffington CA, Kendall MS, DiBartola SP, Woodworth BE. Amitriptyline
treatment for severe recurrent idiopathic cystitis in cats. J Am Vet Med Assoc [Internet].
1998 [cited 2016 Feb 12];213(9)1282-6. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/9810383.
31. Osborne CA, Kruger JM, Lulich JP, Johnston GR, Polzin DJ, Ulrich LK, et al. Prednisolone
therapy of idiopathic feline lower urinary tract disease: a double-blind clinical study. Vet
Clin North Am Small Anim Pract. 1996;26(3)563-9. doi: 10.1016/S0195-5616(96)50085-
9.P.
806. doi: http://dx.doi.org/10.1016/j.cvsm.2015.02.007.
2. Buffington CA. Idiopathic cystitis in domestic cats – beyond the lower urinary tract. J Vet
Intern Med. 2011;25(4):784-96. doi: 10.1111/j.1939-1676.2011.0732.x.
3. Reche Junior A, Camozzi RB. Doença do trato urinário inferior dos felinos – Cistite
intersticial. In: Jerico MM, Andrade neto JP, Kogika MM. Tratado de medicina interna de
cães e gatos. 1a ed. São Paulo: Roca; 2015. v.2. p.1483-92.
4. Kruger JM, Osborne CA, Lulich JP. Changing paradigms of feline idiopathic cystitis. Vet
Clin North Am Small Anim Pract. 2009;39:15-40. doi: 10.1016/j.cvsm.2008.09.008.
5. Osbaldiston GW, Taussig RA. Clinical report on 46 cases of feline urological syndrome. Vet
Med Small Anim Clin [Internet]. 1970 [cited 2016 Jan 26];65:461-8. Available from:
https://www.researchgate.net/publication/17970109_Clinical_report_on_46_cases_of_felin
e_urological_syndrome
6. Osborne CA, Johnston GR, Polzin DJ, Kruger JM, Poffenbarger EM, Bell FW, et al.
Redefinition of the feline urologic syndrome: feline lower urinary tract disease with
heterogeneous causes. Vet Clin North Am Small Anim Pract [Internet]. 1984 [cited 2016
Jan 26];14(3):409-38. Available from:
https://www.researchgate.net/publication/16766229_Redefinition_of_feline_urologic_synd
rome_Feline_lower_urinary_tract_disease_with_heterogenous_causes
7. Buffington CA, Chew DJ, Woodworth BE. Feline interstitial cystitis. J Am Vet Med Assoc.
1999;215(5):682–687.
8. Feinstein AR. The Blame-X syndrome: problems and lessons in nosology, spectrum, and
etiology. J Clin Epidemiol. 2001;54(5):433-9. doi: 10.1016/S0895-4356(00)00374-7.
9. Chew DJ, Schenck P, DiBartola SP. Non obstructive idiopathic or interstitial cystitis in cats.
In: Chew DJ, Schenck P, DiBartola SP. Canine and feline nephrology and urology. 2nd ed.
Missouri: Saunders Elsevier; 2011. p.306-40.
10. Hostutler RA, Chew DJ, DiBartola SP. Recent concepts in feline lower urinary tract
disease. Vet Clin North Am Small Anim Pract. 2005;35(1):147-70. doi:
10.1016/j.cvsm.2004.08.006.
11. Pereira DA, Aguiar JA, Hagiwara MK, Michelacci YM. Changes in cat urinary
glycosaminoglycans with age and in feline urologic syndrome. Biochim Biophys Acta.
2004;1672(1):1-11. doi: 10.1016/j.bbagen.2004.02.002.
12. Gunn-moore DA. Feline lower urinary tract disease. J Feline Med Surg. 2003;5(2):133-8.
doi: 10.1016/S1098-612X(02)00129-8.
13. Westropp JL, Buffington CA. Feline idiopathic cystitis: current understanding of
pathophysiology and management. Vet Clin North Am Small Anim Pract.
2004;34(4):1043-55. doi: 10.1016/j.cvsm.2004.03.002.
14. Buffington CA, Westropp JL, Chew DJ. From FUS to Pandora SYNDROME. Where are
we, how did we get here, and where to now? J Feline Med Surg. 2014;16(5):385-394. doi:
10.1177/1098612X14530212.
15. Buffington CA, Westropp JL, Chew DJ, Bolus RR. Clinical evaluation of multimodal
environmental modification (MEMO) in the management of cats with idiopathic cystitis. J
Feline Med Surg. 2006;8:261-268. doi: 10.1016/j.jfms.2006.02.002.
16. Seawright A, Casey R, Kiddie J, Murray J, Gruffydd-Jones T, Harvey A, et al. A case of
recurrent feline idiopathic cystitis: the control of clinical signs with behavior therapy. J
Vet Behav. 2008;3(1):32-38. doi: 10.1016/j.jveb.2007.09.008.
17. Ellis SLH, Rodan I, Carney HC, Heath S, Rochlitz I, Shearburn LD, et al. AAFP and ISFM
feline environmental needs guidelines. J Feline Med Surg. 2013;15(3):219-230. doi:
10.1177/1098612X13477537.
18. Heath S, Wilson C. Canine and feline enrichement in the home and kennel: a guide for
practitioners. Vet Clin North Am Small Anim Pract. 2014;44(3):427-49. doi:
10.1016/j.cvsm.2014.01.003.
19. Frank D, Beauchamp G, Palestrini C. Systematic review of the use of pheromones for
treatment of undesirable behavior in cats and dogs. J Am Vet Med Assoc.
2010;236(12):1308-16. doi: 10.2460/javma.236.12.1308.
20. Forrester SD, Roudebush P. Evidence-based management of feline lower urinary tract
disease. Vet Clin North Am Small Anim Pract. 2007;37(1):533–558. doi:
10.1016/j.cvsm.2007.01.009.
21. Alramadhan E, Hanna MS, Hanna MS, Goldstein TA, Avila SM, Weeks BS. Dietary and
botanical anxiolytics. Med Sci Monit. 2012;18(4):40-8. doi: 10.12659/MSM.882608.
22. Pereira GG, Fragoso S, Pires E. Effect of dietary intake of L-tryptophan supplementation
on multihoused cats presenting stress related behaviors. In: Proceedings of BSAVA; 2010;
Birmingham. Birmingham: BSAVA; 2010 [cited 2016 Fb 12]. Available from:
http://www.ecuphar.com/newsroom/BSAVA-cats.pdf
23. Beata C, Beaumont-Graff E, Coll V, Cordel J, Marion M, Massal N, et al. Effect of alphacasozepine (Zylkene) on anxiety in cats. J Vet Behav. 2007;2:40-6. doi:
10.1016/j.jveb.2007.02.002.
24. Markwell PJ, Buffington CA, Chew DJ, Kendall MS, Harte JG, DiBartola SP. Clinical
evaluation of commercially available urinary acidification diets in the management of
idiopathic cystitis in cats. J Am Vet Med Assoc [Internet]. 1999 [cited 2016 Feb
12];214(3):361-5. Available from: http://europepmc.org/abstract/med/10023397
25. Gunn-moore DA, Shenoy CM. Oral glucosamine and the management of feline idiopathic
cystitis. J Feline Med Surg. 2004;6(4):219-25. doi: 10.1016/j.jfms.2003.09.007.
26. Reynolds BS, Chetboul V, Nguyen P, Testault I, Concordet DV, Carlos Sampedrano C, et
al. Effects of dietary salt intake on renal function: a 2-year study in healthy aged cats. J Vet
Intern Med. 2013;27(3):507-15. doi: 10.1111/jvim.12074.
27. Calder PC. n-3 polyunsaturated fatty acids, inflammation, and inflammatory diseases. Am
J Clin Nutr [Internet]. 2006 [cited 2015 Dec 21];83:1505S-19S. Available from:
http://ajcn.nutrition.org/content/83/6/S1505.full.pdf+html
28. Singh U, Devaraj S, Jialal I. Vitamin E, oxidative stress, and inflammation. Annu Rev Nutr.
2005;25:151-74. doi: 10.1146/annurev.nutr.24.01200 3.132446.
29. Buffington CA, Chew D, Kruger J, Bartages J, Adams L. Evaluation of pentosan
polysulfate sodium in the treatment of feline interstitial cystitis - a randomized, placebocontrolled clinical trial. J Urol. 2011;185:e382. doi:
http://dx.doi.org/10.1016/j.juro.2011.02.897.
30. Chew DJ, Buffington CA, Kendall MS, DiBartola SP, Woodworth BE. Amitriptyline
treatment for severe recurrent idiopathic cystitis in cats. J Am Vet Med Assoc [Internet].
1998 [cited 2016 Feb 12];213(9)1282-6. Available from:
http://www.ncbi.nlm.nih.gov/pubmed/9810383.
31. Osborne CA, Kruger JM, Lulich JP, Johnston GR, Polzin DJ, Ulrich LK, et al. Prednisolone
therapy of idiopathic feline lower urinary tract disease: a double-blind clinical study. Vet
Clin North Am Small Anim Pract. 1996;26(3)563-9. doi: 10.1016/S0195-5616(96)50085-
9.P.
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2017-12-04
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Nanny Le Sueur Vieira A, Rodrigues Ramos PR, Melchert A, Chalfun Guimarães-Okamoto PT. Síndrome de pandora em felinos: Revisão de literatura. RVZ [Internet]. 4º de dezembro de 2017 [citado 3º de dezembro de 2024];24(4):680-9. Disponível em: https://rvz.emnuvens.com.br/rvz/article/view/239
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