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犬原发性甲状旁腺功能减退症

Primary hypoparathyroidism in the dog.

作者信息

Sherding R G, Meuten D J, Chew D J, Knaack K E, Haupt K H

出版信息

J Am Vet Med Assoc. 1980 Mar 1;176(5):439-44.

PMID:7358561
Abstract

Primary hypoparathyroidism was diagnosed in six dogs with profound hypocalcemia. Muscle tremors, tetany, generalized seizures, ataxia, and behavioral aberrations were the most common clinical signs. Lymphocytic parathyroiditis was found in four of five dogs that were biopsied. The serum concentration of immunoreactive parathyroid hormone was abnormally low in one dog in which it was measured. Treatment with vitamin D and calcium was successful in restoring and maintaining normal concentration of serum calcium in all six dogs. During treatment, large daily doses of vitamin D were required, dose response was unpredictable, serum calcium concentration fluctuated while treatment remained unchanged, and hypercalcemia occurred frequently.

摘要

六只患有严重低钙血症的犬被诊断为原发性甲状旁腺功能减退。肌肉震颤、手足搐搦、全身性惊厥、共济失调和行为异常是最常见的临床症状。在接受活检的五只犬中,有四只发现淋巴细胞性甲状旁腺炎。在检测过免疫反应性甲状旁腺激素血清浓度的一只犬中,该浓度异常低。维生素D和钙剂治疗成功使所有六只犬的血清钙浓度恢复并维持正常。治疗期间,需要每日大剂量使用维生素D,剂量反应不可预测,在治疗方案不变的情况下血清钙浓度波动,且高钙血症频繁发生。

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