Bruyette D S, Feldman E C
Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis 95616.
J Vet Intern Med. 1988 Jan-Mar;2(1):7-14. doi: 10.1111/j.1939-1676.1988.tb01971.x.
Fifteen dogs with primary hypoparathyroidism diagnosed at the University of California Veterinary Medical Teaching Hospital were compared with 13 previously reported cases. Age, sex, breed, and historical and physical findings were similar in both groups of dogs. Middle-aged females were affected primarily. A history of neurologic or neuromuscular disease was present in all 28 dogs, with 18 dogs having seizures. Posterior lenticular cataract formation secondary to hypocalcemia was suspected in six dogs. The most characteristic biochemical finding in all dogs was profound hypocalcemia (less than 6.5 mg/dl) and mild hyperphosphatemia. Serum magnesium concentrations were decreased in two dogs. Serum parathyroid hormone concentrations were consistent with the diagnosis of primary hypoparathyroidism in eight of nine dogs. Lymphocytic parathyroiditis was diagnosed in the 12 dogs from which tissue was submitted for histopathology. Successful management of the patient depended on frequent monitoring of the serum calcium concentration during initial and maintenance therapy.
将加利福尼亚大学兽医医学教学医院诊断出的15只原发性甲状旁腺功能减退犬与之前报道的13个病例进行了比较。两组犬的年龄、性别、品种以及病史和体格检查结果相似。主要受影响的是中年雌性犬。所有28只犬均有神经或神经肌肉疾病史,其中18只犬有癫痫发作。怀疑6只犬因低钙血症继发晶状体后白内障形成。所有犬最典型的生化检查结果是严重低钙血症(低于6.5mg/dl)和轻度高磷血症。2只犬血清镁浓度降低。9只犬中有8只血清甲状旁腺激素浓度符合原发性甲状旁腺功能减退的诊断。在送检组织进行组织病理学检查的12只犬中诊断出淋巴细胞性甲状旁腺炎。患者的成功治疗取决于在初始治疗和维持治疗期间对血清钙浓度的频繁监测。