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Understanding the A/G Ratio: A Key Clue in Diagnosing Feline Infectious Peritonitis (FIP)

FIP (Feline Infectious Peritonitis) is a complex and often devastating disease in cats. Diagnosis can be challenging due to its varied symptoms, but one tool we often use is the Albumin/Globulin ratio, or A/G ratio. Let's explore what this ratio is and why it's important in the FIP diagnostic puzzle.



What is the A/G Ratio?

The A/G ratio is a simple calculation derived from a routine blood test. It compares the levels of two major proteins in the blood:

  • Albumin: This protein helps maintain fluid balance in the body and transports various substances.

  • Globulins:  This diverse group of proteins plays a crucial role in immune function, among other things.

The A/G ratio is calculated by dividing the albumin level by the globulin level. A normal A/G ratio in cats is typically between 0.6 and 1.2.

Why is the A/G Ratio Important in FIP Diagnosis?

FIP often causes inflammation, leading to changes in protein production. Specifically, it can cause a decrease in albumin and an increase in globulins. This results in a lower A/G ratio.

  • A low A/G ratio (<0.6) is a common finding in cats with FIP, particularly the wet form. However, it's important to note that other diseases can also cause a low A/G ratio.

  • A high A/G ratio (>0.8)  makes FIP less likely, but it doesn't completely rule it out.

Normally the begining stage of dicease can affect to A/G result, It's means some cases, the cat has a bad condition even A/G ratio still in high range

Interpreting the A/G Ratio in Context

While the A/G ratio can be a helpful clue, it's crucial to interpret it alongside other diagnostic tests and clinical signs. A complete FIP diagnosis often involves:

  • Complete blood count (CBC)

  • Blood chemistry panel

  • Fluid analysis (if there's fluid buildup)

  • Specific FIP tests (like Rivalta test or PCR)

(Blood has more accurate than fluid)

Why Veterinarians Use the A/G Ratio

The A/G ratio is a simple, inexpensive, and readily available test. It can:

  • Help raise suspicion for FIP:  A low A/G ratio, in combination with other findings, can prompt further testing for FIP.

  • Aid in monitoring treatment progress:  As a cat responds to FIP treatment, their A/G ratio should gradually increase.

Remember:

The A/G ratio is just one piece of the puzzle. It's not a definitive test for FIP, but it's a valuable tool that, when used in conjunction with other diagnostic measures, can help us make an accurate diagnosis and guide the most appropriate treatment plan for your beloved feline friend.

If you have any concerns about FIP or your cat's health, please don't hesitate to reach out to your veterinarian. 

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