Feline triaditis

Question 1

what is feline triaditis?

Answer 1

Triad of conditions Chorinic Enteropathy/IBD, pancreatitis, cholangiohepatitis

Question 2

what is the signalment if feline triaditis?
what are the clinical signs of feline triaditis?

Answer 2

• No gender, age, or breed predisposition (may see more in Siamese)
• Middle to old-aged cats (some young)
• SI or LI signs
• Lethargy, anorexia or ravenous appetite.
• Jaundice/palpable hepatomegaly
• Signs are variable and depend on which of the triad is predominating on each occasion

Question 3

how is feline triadits diagnosed?

Answer 3

Diagnosis – gold standard is imaging plus histopathology
* exclude other causes of diarrhoea/weight loss

Baseline tests:
* complete blood count
◦ Inflammatory/eosinophilia, anaemia
* serum biochemistry panel
◦ Liver disease, pancreatic serology
◦ cobalamin
◦ Note different sensitivity and specificity of liver parameters in cats vs. dogs
* urinalysis
* Serum T4 concentration
* FeLV/FIV test

Radiography - rule out other conditions/confirm liver enlargement.
Ultrasound
* GI tract anatomy
* Liver/pancreas involvement
* Involvement of biliary system – ascending cholangitis/cholangiohepatitis
Specific diagnosis requires biopsies from all sites – ex lap vs. endo