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瑞士杜洛克公猪中观察到的尿崩症诊断。

Diagnosis of diabetes insipidus observed in Swiss Duroc boars.

作者信息

Grahofer Alexander, Wiedemar Natalie, Gurtner Corinne, Drögemüller Cord, Nathues Heiko

机构信息

Clinic for Swine, Department of Clinical Veterinary Medicine, Vetsuisse Faculty, University of Berne, Bremgartenstrasse 109a, CH-3012, Bern, Switzerland.

Institute of Genetics, Department of Clinical Research and Veterinary Public Health, Vetsuisse Faculty, University of Berne, Bremgartenstrasse 109a, CH-3012, Bern, Switzerland.

出版信息

BMC Vet Res. 2016 Jan 29;12:22. doi: 10.1186/s12917-016-0645-4.

Abstract

BACKGROUND

Diabetes insipidus (DI) is a rare disease in humans and animals, which is caused by the lack of production, malfunction or dysfunction of the distal nephron to the antidiuretic effect of the antidiuretic hormone (ADH). Diagnosis requires a thorough medical history, clinical examination and further laboratory confirmation. This case report describes the appearance of DI in five Duroc boars in Switzerland.

CASE PRESENTATION

Two purebred intact Duroc boars at the age of 8 months and 1.5 years, respectively, with a history of polyuric and polydipsic symptoms had been referred to the Swine Clinic in Berne. Based on the case history, the results of clinical examination and the analysis of blood and urine, a tentative diagnosis of DI was concluded. Finally, the diagnosis was confirmed by findings from a modified water deprivation test, macroscopic examinations and histopathology. Following the diagnosis, three genes known to be involved in inherited DI in humans were analyzed in order to explore a possible genetic background of the affected boars.

CONCLUSION

The etiology of DI in pigs is supposed to be the same as in humans, although this disease has never been described in pigs before. Thus, although occurring only on rare occasions, DI should be considered as a differential diagnosis in pigs with polyuria and polydipsia. It seems that a modified water deprivation test may be a helpful tool for confirming a diagnosis in pigs. Since hereditary forms of DI have been described in humans, the occurrence of DI in pigs should be considered in breeding programs although we were not able to identify a disease associated mutation.

摘要

背景

尿崩症(DI)在人类和动物中是一种罕见疾病,由远曲小管对抗利尿激素(ADH)抗利尿作用的产生不足、功能异常或功能障碍引起。诊断需要详细的病史、临床检查及进一步的实验室确诊。本病例报告描述了瑞士五头杜洛克公猪出现尿崩症的情况。

病例介绍

两头纯种未阉割的杜洛克公猪,年龄分别为8个月和1.5岁,有多尿和多饮症状史,被转诊至伯尔尼的猪诊所。根据病史、临床检查结果以及血液和尿液分析,初步诊断为尿崩症。最后,通过改良禁水试验、大体检查和组织病理学检查结果确诊。确诊后,分析了已知与人类遗传性尿崩症相关的三个基因,以探究患病公猪可能的遗传背景。

结论

猪尿崩症的病因推测与人类相同,尽管此前猪中从未描述过这种疾病。因此,尽管尿崩症仅偶尔发生,但对于有多尿和多饮症状的猪应考虑将其作为鉴别诊断。改良禁水试验似乎可能是有助于确诊猪尿崩症的工具。由于人类中已描述了遗传性尿崩症形式,尽管我们未能鉴定出与疾病相关的突变,但在育种计划中应考虑猪尿崩症的发生情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b44/4734855/890f87766724/12917_2016_645_Fig1_HTML.jpg

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