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題 名 | 犬醫源性庫興氏症候群 |
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作 者 | 張力天; | 書刊名 | 臺灣畜牧獸醫學會會報 |
卷 期 | 65:3 1995.09[民84.09] |
頁 次 | 頁297-303 |
分類號 | 437.66 |
關鍵詞 | 庫興氏症候群; 醫源性; 犬; 腎上腺皮質刺激素刺激; Cushing's syndrome; Iatrogenic; Canine; ACTH stimulation; |
語 文 | 中文(Chinese) |
中文摘要 | 一隻七月齡、2公斤重之約克夏以犬因虛弱及全身性脫毛而轉診。該犬曾因黴菌感染之皮膚病及發癢抓搔,而至地方獸醫為接受約一個月的治療。其臨床症狀有恐懼、發燒、輕度脫水、全身性脫毛、皮屑剝落、色素沈著過度、肢端過度角質化、眼部有黏液膿狀分泌物、腹部膨大變薄且可見明顯的皮下血管、皮膚肌肉彈力鬆弛、腕關節與蹠關節變形伴隨四肢無力及多渴、多尿、多食。血液學及血清生化學檢查呈現貧血、白血球增多、肝功能酵素指數升高、高血糖值、高膽固醇值、低納/鉀比值及犬焦蟲感染。此病犬之平時及腎上腺皮質刺波素(ACTH)刺激後可體醇(Cortisol)值均低於正常值之下。根據其病歷、體檢及相關測試,診斷為犬醫源性庫興氏症候群。該犬以prednsiolone治療後雖有改善,卻仍因肝衰竭、腎上腺皮質機能不足及脈管性崩潰引疑之休克而突發死亡。 |
英文摘要 | This is a clinical report of a seven-month-old, male, Yorkshire suffering from introgenic Cushing's syndrome. The dog was referred to our hospital because of weakness and generalized alopecia. The dog has been treated in a local clinic about one month before for pruritus and fungus infected skin disease. Clinical signs shown on presentation were fear, hyper thermia, mild dehydration, generalized alopecia, crusted skin, hyperpigmentation, hyperkeratinization of extremities, mucopurulent ocular discharge, pendulous abdomen, thin abdomen wall with apparent subcutaneous vasculature, poor elasticity of musclature, weak legs with deformed carpal and tarsal joints, polydipsia, polyruia and polyphagia. Major abnormal blood and serum biochemical examinations are anemia, leukocytosis, high hepatic enzyme indices, hyperglycemia, hypercholesterolemia, low sodium/potassium ratio and Babesia canis infection. The dog also had low serum cortisol value and did not adequately response to the adrenocrticotropic hormone (ACTH) stimulation test. From its history, physical examinations and the result of the ACTH stimulation test, adiagnosis of canine iatrogenic Cushing's syndrome was made. Although the dog improved after treatment with prednisolone, it abruptly died of liver failure, hypoadrenocorticism and vascular collapse induced shock. |
本系統中英文摘要資訊取自各篇刊載內容。