Animal & Bird Medical Center of Palm Harbor
Medical Database

Gastrointestinal Disorders

Chronic Active Hepatitis in Dogs

Animals Affected – Dog

General Information
The liver plays a major role in food, vitamin, and hormone metabolism, contributes to immune and blood clotting activities, stores ingredients for future use, and plays a major role in digestion. The word metabolism literally means change. The liver is like a chemical plant that continually uses the substances we eat (on purpose or accidentally) and changes them into forms that the body can use or into forms that can be stored or removed (excreted) by the body. The liver also neutralizes many poisons that would otherwise cause grave results.

Because of the multipurpose nature of the liver, many mixed signs (symptoms) appear when liver destruction occurs through disease or injury. The liver can regenerate itself unless overwhelmed by harmful substances or a disease process that reduces it to a mass of scar tissue (cirrhosis).

Chronic active hepatitis (CAH) refers to a long-standing (6 months or more), currently active inflammation of the liver, and represents a group of liver diseases that have many microscopic similarities. They tend to progress to the end stage of liver degeneration known as cirrhosis.

CAH may be caused by viruses, drugs, primary liver cancers, autoimmune (self-allergy) disorders, and other obscure causes. CAH may include the infectious hepatitis virus and copper-associated hepatitis in Doberman pinschers, West Highland white terriers, and Bedlington terriers. Some examples of drugs that have been reported to cause the disorder are primidone, phenytoin, and oxibendazole. If your pet requires these drugs, liver health can be monitored through periodic blood tests. Primary liver tumors would fit in this group also.

Copper-associated hepatitis in Bedlington Terriers represents an inherited form of CAH in which large masses of copper are collected and stored within the liver. The problem is that the liver cannot excrete the excess copper into the bile that would enable the body to eventually excrete it. The liver, therefore, because it cannot tolerate such high levels of copper, becomes overwhelmingly poisoned to the point that liver cells are destroyed. The mode of inheritance is autosomal recessive, which means each parent must be a carrier for it to appear in the offspring.

Important Points in Treatment
1. It is important to identify the cause because treatment for one type of CAH will be different from that for other forms of the disease. Identification is performed through laboratory tests and liver biopsy.
2. Success of treatment often depends on the stage of liver disease when first noted and treated.

An Important Update From Animal & Bird Medical Center On COVID-19

We are committed to offering a safe and healthy environment for our clients, pets and hospital team here at Animal and Bird Medical Center. The best way to avoid becoming ill is to avoid exposure to the virus. Taking typical preventive actions is key.

In being cautious and mindful of everyone’s safety, we are actively working to minimize your exposure to crowded exam rooms and long waits in the lobby.

In response to the COVID-19 pandemic, we have made some changes to our protocols in-hospital for the time-being…

In order to limit exposure while still providing quality care for your pet, we will be implementing special protocols to keep you safe.

We will have our veterinary technicians get a history of the patient’s symptoms and owner’s concerns via phone prior to coming into the clinic.

  • Upon arrival, owners can call us from the curb in front of the clinic and we will have a technician assistant come to your car and bring your pet inside.
  • From here, your pet will be examined and the doctor will develop a treatment plan which he will then communicate via phone with the owner.
  • At the end of the visit, an invoice will be brought out to your car and payment can be taken via phone.

Our goal is for you to be able to bring your pet in for medical care but have no risk for you or our dedicated staff of transmitting the COVID-19 virus.

The Doctors and staff are dedicated to making sure your pet’s medical needs are taken care of during this national crisis.

We can still fill prescriptions for pick up, however, for those who prefer, non-narcotic and non-urgent prescriptions can be mailed to your home.

As always, careful hand-washing and other infection control practices can greatly reduce the chance of spreading any disease.