Gallego Miguel
Centro Veterinario Madrid Exóticos, Madrid, Spain.
Case Rep Vet Med. 2017 Jul 27;2017:1321656. doi: 10.1155/2017/1321656. eCollection 2017.
A case report of a 2-year-old female satin guinea pig with a history of dental overgrowth and lameness and radiological lesions of fibrous osteodystrophy is presented. The most relevant clinical findings were bone demineralization, high level of parathyroid hormone (PTH), normophosphatemia, normal ionized calcium, and low total thyroxine (tT4) with a normal renal function. Long-term treatment was based on teeth coronal reduction and maintaining a balanced diet. PTH measurement was performed with a kit suitable for rats to test 4 different paired samples of guinea pigs and resulted in similar results for each pair of measurements. Two kits routinely employed in dogs and cats failed in measuring PTH in guinea pig serum samples. The ionized calcium, PTH, and tT4 values, not previously reported in similar cases, were obtained. The determination of tT4 could be useful in the diagnosis of fibrous osteodystrophy in guinea pigs. The observed findings show similarity with human pseudohypoparathyroidism type Ia, a disease caused by an inactivating heterozygous mutation of the stimulatory G protein subunit from the maternal genome that induces multiple hormone resistance and that courses with a syndrome called Albright hereditary osteodystrophy. Naturally occurring pseudohypoparathyroidism in animals has been reported previously only in a ferret.
本文报告了一例2岁雌性缎毛豚鼠病例,该豚鼠有牙齿过度生长、跛行病史以及纤维性骨营养不良的放射学病变。最相关的临床发现为骨质脱矿、甲状旁腺激素(PTH)水平升高、血磷正常、离子钙正常、总甲状腺素(tT4)降低且肾功能正常。长期治疗基于牙齿冠部缩减并维持均衡饮食。使用适合大鼠的试剂盒对豚鼠的4对不同配对样本进行PTH测量,每对测量结果相似。两种常用于犬猫的试剂盒未能在豚鼠血清样本中检测出PTH。获得了此前类似病例中未报道的离子钙、PTH和tT4值。tT4的测定可能有助于豚鼠纤维性骨营养不良的诊断。观察到的结果显示与人类Ia型假性甲状旁腺功能减退相似,该疾病由来自母系基因组的刺激性G蛋白亚基的失活杂合突变引起,会导致多种激素抵抗,并伴有一种名为奥尔布赖特遗传性骨营养不良的综合征。此前仅在一只雪貂中报道过动物自然发生的假性甲状旁腺功能减退。