The clinical course of Bovine Leukocyte Adhedsion Deficiency (BLAD) in
eight Holstein Friesian cattle is described. Affected animals were pr
esented with a history of poor thriving and recurrent bacterial infect
ions. Five of these animals had to be killed because of severe respira
tory disease shortly after admittance. Three affected animals survived
calfhood only as a result of frequent antibacterial treatments. At on
e year of age, failure to thrive and stunted growth were still evident
, but infections requiring antibiotic treatments occurred only sporadi
cally. Clinical manifestations of BLAD were found in the digestive sys
tem (gingivitis, periodontitis, alveolar periostitis, diarrhoea), the
respiratory system and the skin (impaired wound healing, chronic derma
titis). A leukocytosis based on a mature neutrophilia, which persisted
during infection-free periods, was observed in all animals. Granulocy
tes were substantially deficient of beta2-integrin expression on their
membranes. Anaemia which was noted in four animals, may be related to
the Anaemia of Inflammatory Disease Complex (AID). The serum total pr
otein content increased with time and was associated with elevated gam
ma-globulin levels. We suggest that, at a certain age, animals affecte
d with BLAD are able to cope with environmental agents due to compensa
tory mechanisms of the immune system.