The clinical course of Bovine Leukocyte Adhesion Deficiency (BLAD) in
eight Holstein Friesian cattle is described. Affected animals were pre
sented with a history of poor thriving and recurrent bacterial infecti
ons. Five of these animals had to be killed because of severe respirat
ory disease shortly after admittance. Three affected animals survived
calfhood only as a result of frequent antibacterial treatments. At one
year of age, failure to thrive and stunted growth were still evident,
but infections requiring antibiotic treatments occurred only sporadic
ally. Clinical manifestations of BLAD were found in the digestive syst
em (gingivitis, periodontitis, alveolar periostitis, diarrhoea), the r
espiratory system and the skin (impaired wound healing, chronic dermat
itis). A leukocytosis based on a mature neutrophilia, which persisted
during infection-free periods, was observed in all animals. Granulocyt
es were substantially deficient of beta 2-integrin expression on their
membranes. Anaemia, which was noted in four animals, may be related t
o the Anaemia of Inflammatory Disease Complex (AID). The serum total p
rotein content increased with time and was associated with elevated ga
mma-globulin levels. We suggest that, at a certain age, animals affect
ed with BLAB are able to cope with environmental agents due to compens
atory mechanisms of the immune system.