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患有肾上腺皮质功能亢进和肾上腺腺瘤的比格犬的小梁骨形态计量学

Trabecular bone morphometry in beagles with hyperadrenocorticism and adrenal adenomas.

作者信息

Norrdin R W, Carpenter T R, Hamilton B F, Brewster R D

机构信息

Department of Pathology, College of Veterinary Medicine and Biomedical Sciences, Fort Collins, CO.

出版信息

Vet Pathol. 1988 Jul;25(4):256-64. doi: 10.1177/030098588802500402.

Abstract

Trabecular bone morphometry was done on rib samples of beagles with hyperadrenocorticism and adrenal adenomas to evaluate bone loss and the remodeling changes responsible. Beagles diagnosed as having clinical hyperadrenocorticism and those with milder or subclinical hyperadrenocorticism diagnosed on the basis of adrenal and pituitary lesions at necropsy had increased adrenal and pituitary gland weights. In a group of dogs with adrenal cortical adenomas there was atrophy of remaining cortex, and the combined weight of adrenal glands or pituitary weights were not increased. In dogs with clinical hyperadrenocorticism, mean trabecular bone volume was 25% less than controls (P = 0.10). In both clinical and subclinical hyperadrenocorticism groups, the extent of trabecular surface with unmineralized osteoid matrix and osteoblasts was significantly reduced. There were no changes in resorption surfaces or number of osteoclasts present. No bone changes were seen in dogs with adrenal adenomas. In dogs with hyperadrenocorticism it appeared that decreased bone formation was primarily responsible for the relative osteopenia that developed. Although parathyroid glands were moderately enlarged in those dogs for which weights were available, the bone changes were not those of increased remodeling expected in hyperparathyroidism.

摘要

对患有肾上腺皮质功能亢进和肾上腺腺瘤的比格犬的肋骨样本进行小梁骨形态计量学分析,以评估骨质流失情况以及相关的重塑变化。经诊断患有临床肾上腺皮质功能亢进的比格犬,以及那些在尸检时根据肾上腺和垂体病变诊断为轻度或亚临床肾上腺皮质功能亢进的比格犬,其肾上腺和垂体重量增加。在一组患有肾上腺皮质腺瘤的犬中,剩余皮质出现萎缩,肾上腺联合重量或垂体重量并未增加。患有临床肾上腺皮质功能亢进的犬,其平均小梁骨体积比对照组减少25%(P = 0.10)。在临床和亚临床肾上腺皮质功能亢进组中,未矿化类骨质基质和成骨细胞所在的小梁表面范围均显著减少。吸收表面或破骨细胞数量未见变化。患有肾上腺腺瘤的犬未出现骨骼变化。在患有肾上腺皮质功能亢进的犬中,似乎骨形成减少是导致所出现的相对骨质减少的主要原因。尽管在那些有可测量重量的犬中甲状旁腺有中度肿大,但骨骼变化并非甲状旁腺功能亢进中预期的重塑增加的变化。

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