Whitley N T
Veterinary Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
J Small Anim Pract. 1995 Mar;36(3):132-5. doi: 10.1111/j.1748-5827.1995.tb02858.x.
A seven-year-old German shepherd dog was referred for acute onset regurgitation. Muscle weakness and severe dermatological disease were present. Thoracic radiographs revealed generalised megaoesophagus. Diagnostic testing revealed glucocorticoid deficiency, and rapid resolution of the megaoesophagus followed appropriate supplementation. The dog made a full recovery. Unique features of this case include a transiently positive antinuclear antibody titre and clinical features of myasthenia gravis.
一只七岁的德国牧羊犬因急性反流前来就诊。存在肌肉无力和严重的皮肤病。胸部X光片显示广泛性巨食管。诊断测试显示糖皮质激素缺乏，补充适当的激素后巨食管迅速缓解。这只狗完全康复。该病例的独特之处包括抗核抗体滴度短暂呈阳性以及重症肌无力的临床特征。
