Giannuzzi Pasquale, Perillo Raffaella, Cafaro Mariateresa, Paci Serena, Capogrosso Clara, Panarese Michele, Campanile Debora
Ospedale Veterinario Atheryon, Via Grecia, 2, 76125 Trani, Italy.
Animals (Basel). 2025 Jul 7;15(13):1996. doi: 10.3390/ani15131996.
This case describes a rare presentation of hypodipsia in a 7-month-old female Labrador Retriever, attributed to congenital corpus callosum dysplasia and holoprosencephaly. Chronic hypernatremia in the patient was consistently associated with severe hyperlipemia, which was further complicated by hemorrhagic enteritis and sepsis-associated liver dysfunction. Persistent hyperlipemia was observed during the hypernatremic crisis but resolved following the restoration of adequate water intake and the subsequent correction of hypernatremia. The association between hyperlipemia and hypernatremia is unusual, with only a limited number of cases reported in pediatric patients and a single canine case involving encephalic lymphosarcoma. The hemorrhagic enteritis observed in this patient was suspected to be a complication of the chronic hypernatremic and hyperlipidemic state. This report explores the relevant literature and proposes potential pathophysiological mechanisms underlying the interplay between these clinical findings and altered thirst regulation caused by corpus callosum dysplasia.
本病例描述了一只7个月大的雌性拉布拉多猎犬罕见的渴感减退表现,病因是先天性胼胝体发育不全和前脑无裂畸形。该患者的慢性高钠血症一直与严重高脂血症相关,后者又因出血性肠炎和脓毒症相关肝功能障碍而进一步复杂化。在高钠血症危象期间观察到持续性高脂血症,但在恢复充足的水摄入并随后纠正高钠血症后高脂血症得以缓解。高脂血症与高钠血症之间的关联并不常见,儿科患者中仅有少数病例报道,犬类病例仅有一例涉及脑淋巴瘤。该患者出现的出血性肠炎被怀疑是慢性高钠血症和高脂血症状态的并发症。本报告探讨了相关文献,并提出了这些临床发现与胼胝体发育不全导致的口渴调节改变之间相互作用的潜在病理生理机制。