Immune dysregulation, a hallmark of chronic lymphocytic leukemia (CLL), manifests itself in three autoimmune diseases: warm autoimmune hemolytic anemia (AIHA); idiopathic thrombocytopenia (ITP); and, pure red cell aplasia (PRCA).utoimmune phenomena, largely related to blood cells, are based in the immune dysregulation of CLL. Longer survivals in CLL patients, more treatment regimens per patient, and more immunosuppression with modern treatments, allow us to predict an increasing incidence of autoimmune blood cell diseases in CLL.
When to Wean. The puppy's mother usually starts the weaning process usually when the puppy is around 3 to 4 weeks old. By the time a pup is 7 or 8 weeks old, she should be completely weaned from her mother and no longer nursing. Orphaned puppies may be weaned around the same age.
About ten years ago, we started to learn that some vaccinations instill immunity for a longer period of time than previously thought. This caused many of us to change our vaccination recommendations for our patients. Puppies still need to be vaccinated every 2 to 3 weeks until they are 16 weeks old. The reason is the effect of maternal antibodies. Puppies receive maternal antibodies from the dam.