Veterinary medicine is centered on the animal patient, and similarly, human medicine is centered on the human patient. Yet animal health, human health, and the environment intersect in myriad ways. Despite this intersection, there are few resources that take a family-centered, collaborative approach to human, animal, and environmental health. To help address this gap, AAHA has brought together a task force of human and veterinary medical professionals with the goal of improving collaboration between professions to facilitate better outcomes for families with pets. These guidelines address common scenarios (e.g., zoonotic disease, disability, intimate partner violence) that intersect with human and animal health and provide strategies for greater communication and collaboration between the professions. The guidelines cover (1) terms and definitions to establish a common language between professions; (2) how to determine if a case requires a One Health approach; (3) how and when to reach out to other professionals for a case (e.g., social worker, physician, other medical professionals); and (4) how and when to follow up and close cases. These guidelines also offer case studies illustrating One Health scenarios that connect with human/family health, with supplemental materials available on the AAHA website at aaha.org/one-health.
Dogs with hyperadrenocorticism (HAC) present to a referral dermatology practice with clinical signs that vary from the traditional HAC signs. This retrospective case series evaluates the presenting complaints, history findings, and physical examination findings in dogs diagnosed with HAC presenting to a referral dermatology practice. Medical records of 30 dogs diagnosed with HAC and evaluated at a private dermatology referral practice were retrospectively reviewed. A history of pruritus was the most prevalent history finding in 26/30 dogs (87%). On physical examination, a superficial bacterial pyoderma was diagnosed in 22/30 dogs (73%) with a supportive cytology followed by alopecia in 16/30 dogs (53%). Alkaline phosphatase was only elevated in 20/30 cases (67%). These results indicate that pruritus was the most commonly documented historic finding and pyoderma was the prevailing physical examination finding. Uncommonly reported findings included otitis externa and pododermatitis for patients with HAC presenting to a referral dermatology practice.
This case report describes partial pancreatectomy in a dog with insulinoma, emphasizing the role of pancreatic ductal anatomy on surgical planning and postoperative management. A 13 yr old castrated male poodle was evaluated for a pancreatic mass with signs indicative of insulinoma. Imaging showed the mass occupying most of the right pancreatic limb, with its cranial margin just adjacent to the minor duodenal papilla. Although intraoperative visualization was limited by duodenal adhesions, postoperative ultrasonography and histopathology supported anatomical preservation of the accessory pancreatic duct. Histopathologic and immunohistochemical analyses confirmed insulinoma with incomplete surgical margins, prompting adjuvant chemotherapy with imatinib. Initial follow-up revealed maintenance of normoglycemia despite development of pancreatitis. Over time, laboratory findings and clinical signs indicated progressive exocrine insufficiency, with diabetes mellitus diagnosed at 8 mo. The patient survived beyond 16 mo postoperatively without tumor recurrence. This case demonstrates that ductal preservation is anatomically feasible when tumor location permits, although functional preservation may not always follow. It highlights the complexity of balancing oncologic control with pancreatic function. Although surgical management of canine insulinoma is well described, few reports examine the impact of ductal anatomy on surgical decisions and long-term outcomes, underscoring the need for further investigation.