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在疑似虐待动物的法医案例中,应将肾性继发性甲状旁腺功能亢进作为鉴别诊断。

Renal secondary hyperparathyroidism should be considered a differential diagnosis in forensic cases where animal abuse is suspected.

机构信息

Division Integrating Disciplines (Diagnostic Imaging), Department Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.

Division Pathology, Department Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.

出版信息

Forensic Sci Med Pathol. 2022 Dec;18(4):491-496. doi: 10.1007/s12024-022-00501-5. Epub 2022 Aug 19.

Abstract

This case description reports an adult dog with multiple rib fractures that was initially suspected to be the victim of non-accidental trauma, but eventually was diagnosed with severe chronic interstitial nephritis and renal secondary hyperparathyroidism leading to fibrous osteodystrophy and multiple pathological fractures. The importance of the specific expertise of a dedicated expert panel on animal abuse is discussed. This case illustrates the significance of the identification of normal, pathological, and breed-related variations within an animal in addition to forensic expertise, emphasizing that the presence of multidisciplinary teams in an expert panel on animal abuse is crucial.

摘要

本病例描述报告了一例成年犬,有多发性肋骨骨折,最初疑似遭受非意外伤害,但最终被诊断为严重慢性间质性肾炎和肾继发甲状旁腺功能亢进,导致纤维性骨营养不良和多发性病理性骨折。讨论了专门的动物虐待问题专家小组的具体专业知识的重要性。本病例说明了在动物虐待问题专家小组中,除了法医专业知识外,识别动物的正常、病理和品种相关变异的重要性,强调多学科团队在动物虐待问题专家小组中的存在至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28b2/9636077/19c29c4e9aef/12024_2022_501_Fig1_HTML.jpg

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