Goldman A L
Warwick Animal Hospital, RI 02888.
J Am Vet Med Assoc. 1992 Jun 15;200(12):1970-2.
A 10-year-old cat that was kept on a diet consisting largely of raw liver was evaluated because of lethargy, partial anorexia, and weight loss of several months' duration. The cat's head and neck were rigidly extended, and a hard mass was palpable in the ventral cervical region. Cervical and thoracic radiography revealed proliferative bony lesions of the cervical and thoracic vertebrae as well as of the sternum and costal cartilages. Serum vitamin A concentration was 4 times normal. For reasons unrelated to hypervitaminosis A, euthanasia and necropsy were performed 6 months after evaluation. The skull and the cervical and first few thoracic vertebrae were rigidly fused, and the vertebral architecture was altered by deposition of new bone. The sternum and costal cartilages were similarly affected. The historical, physical, radiographic, laboratory, and postmortem findings were consistent with the diagnosis of hypervitaminosis A. On the basis of findings in this cat, hypervitaminosis A should be suspected in any sick cat fed a diet consisting partly or completely of raw liver.
一只10岁的猫,长期以主要由生肝脏组成的食物喂养,因嗜睡、部分厌食和持续数月的体重减轻而接受评估。猫的头颈部僵硬伸展,在颈部腹侧可触及一个硬块。颈椎和胸椎X线检查显示颈椎、胸椎以及胸骨和肋软骨有增生性骨病变。血清维生素A浓度是正常的4倍。由于与维生素A过多症无关的原因,在评估6个月后实施了安乐死并进行了尸检。颅骨与颈椎及最初几个胸椎僵硬融合,新骨沉积改变了椎体结构。胸骨和肋软骨也受到类似影响。病史、体格检查、影像学、实验室检查和尸检结果均符合维生素A过多症的诊断。根据这只猫的检查结果,对于任何喂食部分或完全由生肝脏组成食物的病猫,都应怀疑维生素A过多症。