Withers S S, Johnson E G, Culp W T N, Rodriguez C O, Skorupski K A, Rebhun R B
William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA.
Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA.
Vet Comp Oncol. 2015 Sep;13(3):157-65. doi: 10.1111/vco.12026. Epub 2013 Mar 14.
Paraneoplastic hypertrophic osteopathy (pHO) is known to occur in both canine and human cancer patients. While the pathology of pHO is well-described in the dog, very little information exists regarding the true clinical presentation of dogs affected with pHO. The primary objective of this study was to provide a more comprehensive clinical picture of pHO. To this end, we retrospectively identified 30 dogs and recorded data regarding presenting complaints and physical examination (PE) findings on the date of pHO diagnosis. As a secondary objective, any blood test results were also collected from the computerized records. The most common clinical signs included leg swelling, ocular discharge and/or episcleral injection, lameness, and lethargy. The most common haematological and serum biochemical abnormalities included anaemia, neutrophilia and elevated alkaline phosphatase. In addition to presenting a more detailed clinical description of pHO in the dog, these data support the previously described haematological, serum biochemical and PE abnormalities published in individual case reports.
副肿瘤性肥大性骨病(pHO)在犬类和人类癌症患者中均有发生。虽然pHO在犬类中的病理学已有详细描述,但关于患pHO犬类的真实临床表现的信息却非常少。本研究的主要目的是提供更全面的pHO临床情况。为此,我们回顾性地确定了30只犬,并记录了pHO诊断当天的就诊主诉和体格检查(PE)结果。作为次要目标,还从计算机记录中收集了所有血液检测结果。最常见的临床症状包括腿部肿胀、眼部分泌物和/或巩膜充血、跛行和嗜睡。最常见的血液学和血清生化异常包括贫血、中性粒细胞增多和碱性磷酸酶升高。除了对犬类pHO进行更详细的临床描述外,这些数据还支持了之前在个别病例报告中发表的血液学、血清生化和PE异常情况。