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Clinical, CT and ultrasonographic features of renal secondary hyperparathyroidism in a juvenile dog
Author(s) -
Barczak Elzbieta,
O'Connell Erin,
Mortier Jeremy R
Publication year - 2020
Publication title -
veterinary record case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.165
H-Index - 4
ISSN - 2052-6121
DOI - 10.1136/vetreccr-2020-001197
Subject(s) - medicine , secondary hyperparathyroidism , juvenile , hyperparathyroidism , differential diagnosis , osteopenia , soft tissue , pathology , maxilla , radiology , anatomy , parathyroid hormone , bone mineral , osteoporosis , calcium , biology , genetics
SUMMARY A nine‐month‐old female entire Rottweiler was presented for further investigation of progressive, symmetric facial swelling over the maxilla of four weeks duration. Biochemistry revealed severe azotaemia with hyperphosphataemia. CT revealed poor mineralisation of the facial and calvarial bones. The maxillary and palatine bones were replaced by proliferative, heterogeneous tissue of mixed soft tissue and granular mineral attenuating material. On ultrasound, parathyroid glands were enlarged and renal lesions suggestive of juvenile nephropathy were observed. Due to poor long‐term prognosis, the owner elected euthanasia. Necropsy confirmed generalised osteopenia and chronic kidney disease. Renal secondary hyperparathyroidism was diagnosed and should be considered a differential for bilateral facial swelling in young dogs.