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围产期四川羚牛的远端肢体肿胀与骨膜增生反应():5例疑似肥大性骨关节病

DISTAL LIMB SWELLING AND PERIOSTEAL PRODUCTIVE REACTION IN PERIPARTURIENT SICHUAN TAKIN (): FIVE CASES OF PRESUMPTIVE HYPERTROPHIC OSTEOPATHY.

作者信息

Marinkovich Matt, Wisner Erik R, Brenner Deena J

机构信息

University of California Davis School of Veterinary Medicine, Davis, CA 95616, USA,

San Diego Zoo Global, San Diego, CA 92112, USA,

出版信息

J Zoo Wildl Med. 2019 Jun 13;50(2):437-446. doi: 10.1638/2018-0174.

Abstract

Hypertrophic osteopathy, a syndrome characterized by painful distal limb swelling and proliferative periosteal reaction, primarily involves the metacarpal and metatarsal bones and phalanges. Lesions are often bilaterally symmetric and typically affect all four limbs. Hypertrophic osteopathy is frequently associated with primary intrathoracic disease, though this condition has also been reported secondary to intra-abdominal and intrapelvic disease and associated with pregnancy in both people and horses. Over a 20-yr period, five adult female Sichuan takin (), with 13 total pregnancies, were evaluated because of lameness and distal limb swelling. These clinical signs were observed between 2 and 32 days (mean = 19 days) prior to parturition (gestation period in takin approximately 200-240 days) and resolved in all animals following parturition. Lameness and limb swelling resolved between 8 and 168 days (median = 15 days) after parturition. Sixteen radiographic examinations, from four of the individuals, documented proliferative periosteal reaction, primarily of the metacarpal bones, metatarsal bones, and phalanges. The clinical progression, resolution of signs, and radiographic features in these cases are consistent with hypertrophic osteopathy, secondary to pregnancy. This is the first report describing presumptive hypertrophic osteopathy in takin.

摘要

肥大性骨病是一种以远端肢体疼痛性肿胀和增生性骨膜反应为特征的综合征,主要累及掌骨、跖骨和指骨。病变通常双侧对称,典型地影响四肢。肥大性骨病常与原发性胸内疾病相关,不过也有报道称其继发于腹内和盆腔内疾病,并且在人和马中均与妊娠有关。在20年期间,对5只成年雌性四川羚牛()进行了评估,它们共有13次妊娠,评估原因是跛行和远端肢体肿胀。这些临床症状在分娩前2至32天(平均 = 19天)出现(羚牛妊娠期约200 - 240天),且所有动物在分娩后症状均消失。跛行和肢体肿胀在分娩后8至168天(中位数 = 15天)消退。对其中4只个体进行了16次放射检查,记录到增生性骨膜反应,主要累及掌骨、跖骨和指骨。这些病例的临床进展、症状消退情况以及放射学特征与妊娠继发的肥大性骨病相符。这是首次描述羚牛疑似肥大性骨病的报告。

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