辅助使用泼尼松龙治疗一只创伤后双侧股四头肌挛缩的猫。
Use of adjunctive prednisolone in the management of a cat with bilateral quadriceps contracture following trauma.
作者信息
Tisdall Penelope Lc, Rogowski Cameron P
机构信息
School of Animal and Veterinary Sciences, University of Adelaide, Roseworthy Campus, Roseworthy, Australia.
出版信息
JFMS Open Rep. 2017 Mar 14;3(1):2055116917695876. doi: 10.1177/2055116917695876. eCollection 2017 Jan-Jun.
CASE SUMMARY
A 6-month-old cat was successfully treated for bilateral quadriceps contracture. Conventional treatments including surgery, dynamic flexion apparatus and physical therapy along with analgesics and non-steroidal anti-inflammatory drugs resulted in temporary clinical improvement that was relapsing. The initiation of supplementary corticosteroid treatment with prednisolone coincided with an immediate and sustained clinical improvement and long-term resolution.
RELEVANCE AND NOVEL INFORMATION
Successful treatment of bilateral quadriceps contracture has not previously been reported in a cat. Quadriceps contracture remains a challenging condition to treat with some cases unresponsive to therapy. Systemic prednisolone treatment appeared to be of benefit in the management of this case and may have a role in some cats where muscle contracture appears relapsing in nature. Further prospective investigations in cats with muscle contracture, including muscle biopsies of affected cats, are warranted.
病例摘要
一只6个月大的猫成功治愈双侧股四头肌挛缩。常规治疗包括手术、动态屈曲装置、物理治疗以及镇痛药和非甾体抗炎药，虽带来了暂时的临床改善，但病情会复发。开始使用泼尼松龙进行补充皮质类固醇治疗后，立即出现并持续保持了临床改善及长期缓解。
相关性及新信息
此前尚未有猫双侧股四头肌挛缩成功治疗的报道。股四头肌挛缩仍是一种具有挑战性的疾病，部分病例对治疗无反应。全身性泼尼松龙治疗似乎对此病例的管理有益，在某些肌肉挛缩呈复发性的猫中可能也有作用。有必要对患有肌肉挛缩的猫进行进一步的前瞻性研究，包括对患病猫进行肌肉活检。
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