Hipoparatireoidismo secundário ao uso prolongado de omeprazol em um cão: relato de caso / Secondary hypoparathyroidism to omeprazole prolonged use in a dog: case report

O hipoparatireoidismo, quer seja primário ou secundário, é uma doença rara em cães, causada pela diminuição da secreção de paratormônio pelas paratireoides, que leva a sinais clínicos resultantes da hipocalcemia. O omeprazol vem sendo cada vez mais utilizado na medicina veterinária visando à diminuição na produção de líquor, mas existem poucos estudos sobre os efeitos colaterais relacionados ao uso crônico dessa medicação. Relata-se o caso de um cão macho da raça Yorkshire Terrier, com quatro anos de idade, com sinais clínicos de dor, sendo verificada calcificação em pelve e divertículo renal. Segundo o proprietário, o cão fazia uso de omeprazol há mais de dois anos devido ao histórico de hidrocefalia. Os exames laboratoriais evidenciaram anemia microcítica hipocrômica, hipocalemia, hiperfosfatemia, hipocalcemia, hipomagnesemia e hipercalciúria. A dosagem do paratormônio sérico confirmou o hipoparatireoidismo. Após a suspensão do omeprazol, as alterações encontradas nos exames se normalizaram, confirmando que a causa do hipoparatireoidismo era o uso crônico da medicação.(AU)

Primary or secondary hypoparathyroidism is a rare disease in dogs caused by the decreased secretion of parathormone from the parathyroid glands, leading to clinical signs of hypocalcemia. Omeprazole has been increasingly used in veterinary medicine in order to reduce the production of cerebrospinal fluid, but there are few reports of side effects related to its chronic use. We report a case of a four-year-old male Yorkshire terrier with clinical signs of pain, calcification in the pelvis and renal diverticulum. According to the owner, the dog had been receiving omeprazole for over 2 years because of the history of hydrocephalus. Hematological exams revealed hypochromic microcytic anemia, hypokalemia, hyperphosphatemia, hypocalcemia, hypomagnesemia besides hypercalciuria. The determination of serum parathyroid hormone concentrations confirmed hypoparathyroidism. After interrupting omeprazole, the altered features on the exams returned to normal values, confirming that the cause of hypoparathyroidism was the chronic use of the drug.(AU)

Hipoparatireoidismo secundário ao uso prolongado de omeprazol em um cão: relato de caso / Secondary hypoparathyroidism to omeprazole prolonged use in a dog: case report

O hipoparatireoidismo, quer seja primário ou secundário, é uma doença rara em cães, causada pela diminuição da secreção de paratormônio pelas paratireoides, que leva a sinais clínicos resultantes da hipocalcemia. O omeprazol vem sendo cada vez mais utilizado na medicina veterinária visando à diminuição na produção de líquor, mas existem poucos estudos sobre os efeitos colaterais relacionados ao uso crônico dessa medicação. Relata-se o caso de um cão macho da raça Yorkshire Terrier, com quatro anos de idade, com sinais clínicos de dor, sendo verificada calcificação em pelve e divertículo renal. Segundo o proprietário, o cão fazia uso de omeprazol há mais de dois anos devido ao histórico de hidrocefalia. Os exames laboratoriais evidenciaram anemia microcítica hipocrômica, hipocalemia, hiperfosfatemia, hipocalcemia, hipomagnesemia e hipercalciúria. A dosagem do paratormônio sérico confirmou o hipoparatireoidismo. Após a suspensão do omeprazol, as alterações encontradas nos exames se normalizaram, confirmando que a causa do hipoparatireoidismo era o uso crônico da medicação.(AU)

Primary or secondary hypoparathyroidism is a rare disease in dogs caused by the decreased secretion of parathormone from the parathyroid glands, leading to clinical signs of hypocalcemia. Omeprazole has been increasingly used in veterinary medicine in order to reduce the production of cerebrospinal fluid, but there are few reports of side effects related to its chronic use. We report a case of a four-year-old male Yorkshire terrier with clinical signs of pain, calcification in the pelvis and renal diverticulum. According to the owner, the dog had been receiving omeprazole for over 2 years because of the history of hydrocephalus. Hematological exams revealed hypochromic microcytic anemia, hypokalemia, hyperphosphatemia, hypocalcemia, hypomagnesemia besides hypercalciuria. The determination of serum parathyroid hormone concentrations confirmed hypoparathyroidism. After interrupting omeprazole, the altered features on the exams returned to normal values, confirming that the cause of hypoparathyroidism was the chronic use of the drug.(AU)

Primary hypoparathyroidism in one cat and two dogs

Background: Primary hypoparathyroidism (PH) is an endocrine disorder characterized by decreased production and/or release of parathyroid hormone (PTH). Dogs and cats are rarely affected, and typical clinical signs include an abrupt onset of neurological and neuromuscular signs. The diagnosis is based on the history, clinical signs, and laboratory findings of hypocalcaemia, as well as the exclusion of other causes of tetany. Treatment involves stabilization of serum calcium with specific therapy. This study aimed to report three cases of PH: two canine cases and the first feline case in Brazil. Cases: 1) A 8-year-old male Yorkshire terrier was brought to the clinic with a history of tetanic crisis. The owner reported that the animal had been previously diagnosed with epilepsy and since treated with phenobarbital. The physical examination revealed hyperthermia, tachypnea, tachycardia, salivation, and ataxia with hyperextension of the anterior and posterior limbs. Emergency treatment included intravenous (IV) administration of calcium gluconate, and the animal showed clinical improvement within an hour. Overall, the complete blood count was within the normal range, but the calcium and PTH levels were below the normal ranges. Therefore, PH was confirmed. Calcium carbonate and vitamin D3 supplementation were prescribed, and the treatment with phenobarbital was suspended. During the...

Primary hypoparathyroidism in one cat and two dogs

Background: Primary hypoparathyroidism (PH) is an endocrine disorder characterized by decreased production and/or release of parathyroid hormone (PTH). Dogs and cats are rarely affected, and typical clinical signs include an abrupt onset of neurological and neuromuscular signs. The diagnosis is based on the history, clinical signs, and laboratory findings of hypocalcaemia, as well as the exclusion of other causes of tetany. Treatment involves stabilization of serum calcium with specific therapy. This study aimed to report three cases of PH: two canine cases and the first feline case in Brazil. Cases: 1) A 8-year-old male Yorkshire terrier was brought to the clinic with a history of tetanic crisis. The owner reported that the animal had been previously diagnosed with epilepsy and since treated with phenobarbital. The physical examination revealed hyperthermia, tachypnea, tachycardia, salivation, and ataxia with hyperextension of the anterior and posterior limbs. Emergency treatment included intravenous (IV) administration of calcium gluconate, and the animal showed clinical improvement within an hour. Overall, the complete blood count was within the normal range, but the calcium and PTH levels were below the normal ranges. Therefore, PH was confirmed. Calcium carbonate and vitamin D3 supplementation were prescribed, and the treatment with phenobarbital was suspended. During the...(AU)

Canine hypoparathyroidism: case report / Hipoparatireoidismo canino: relato de caso

Primary hypoparathyroidism is an uncommon endocrinopathy in dogs, resulting from absolute or relative deficiency in the secretion of parathormone (PTH). The dog presented signs of hypocalcemia, including muscular spasms, tetany and cramps, evolving to tonic-clonic seizures and fever. Emergency therapy for hypocalcemia included glucose physiological solution at 0.45% and calcium gluconate administered intravenously. Diagnosis was confirmed by the presence of hypocalcemia, hyperphosphatemia and a decrease in parathormone (PTH).(AU)

O hipoparatireoidismo primário é uma endocrinopatia incomum em cães, resultante da deficiência absoluta ou relativa na secreção do paratormônio (PTH). O cão apresentava sinais de hipocalcemia, incluindo espasmos musculares, tetania e cãibras que evoluíram para convulsões tônico-clônicas e febre. A terapia de emergência para hipocalcemia incluiu solução glicofisiológica 0,45% e gluconato de cálcio por intravenosa. O diagnóstico foi confirmado pela presença de hipocalcemia, hiperfosfatemia e diminuição do paratormônio (PTH).(AU)

Canine hypoparathyroidism: case report / Hipoparatireoidismo canino: relato de caso

Primary hypoparathyroidism is an uncommon endocrinopathy in dogs, resulting from absolute or relative deficiency in the secretion of parathormone (PTH). The dog presented signs of hypocalcemia, including muscular spasms, tetany and cramps, evolving to tonic-clonic seizures and fever. Emergency therapy for hypocalcemia included glucose physiological solution at 0.45% and calcium gluconate administered intravenously. Diagnosis was confirmed by the presence of hypocalcemia, hyperphosphatemia and a decrease in parathormone (PTH).(AU)

O hipoparatireoidismo primário é uma endocrinopatia incomum em cães, resultante da deficiência absoluta ou relativa na secreção do paratormônio (PTH). O cão apresentava sinais de hipocalcemia, incluindo espasmos musculares, tetania e cãibras que evoluíram para convulsões tônico-clônicas e febre. A terapia de emergência para hipocalcemia incluiu solução glicofisiológica 0,45% e gluconato de cálcio por intravenosa. O diagnóstico foi confirmado pela presença de hipocalcemia, hiperfosfatemia e diminuição do paratormônio (PTH).(AU)

Primary hypoparathyroidism in a dog / Hipoparatireoidismo primário em cão

The hypoparathyroidism is a rare endocrinopathy reported in dogs, caused by a deficiency in the synthesis of parathyroid hormone (PTH). The lack of PTH causes hypocalcemia and hyperphosphatemia, resulting in a series of neurological and neuromuscular disorders. Unlike most endocrinopathies, hypoparathyroidism is a disease in which the exogenous hormone replacement is not being viable, becoming the treatment a challenge. The present report aims to describe a case of primary hypoparathyroidism in a Schnauzer dog with seizures and neuromuscular disorders, and successful treatment employed, this being the first case, according to the literature, of hypoparathyroidism diagnosed in Brazil. The hypoparathyroidism should be considered as a differential diagnosis in cases of seizure. A complete neurological evaluation and determination of serum ionized calcium and parathyroid hormone are essential for the diagnosis of this disease. Early diagnosis may improve the quality of life of affected animals, since after the initiation of therapy, there is complete remission of clinical signs.(AU)

O hipoparatireoidismo é uma endocrinopatia raramente descrita em cães, provocada pela deficiência na síntese de paratormônio (PTH). A falta do PTH leva a hipocalcemia e hiperfosfatemia, resultando em uma série de alterações neurológicas e neuromusculares. Ao contrário da maioria das endocrinopatias, o hipoparatireoidismo é uma enfermidade em que a reposição hormonal exógena ainda não é viável, o que torna o tratamento um desafio. O presente relato tem como objetivo descrever um caso de hipoparatireoidismo primário em cão da raça Schnauzer com convulsões e alterações neuromusculares e o sucesso na terapia empregada, sendo este o primeiro caso, de acordo com a literatura consultada, de hipoparatiroidismo diagnosticado no Brasil. O hipoparatireoidismo deve ser considerado um diagnóstico diferencial para casos de convulsão. A avaliação neurológica completa e a dosagem dos níveis séricos do cálcio ionizado e do paratormônio são fundamentais para o diagnóstico desta doença. O diagnóstico precoce pode melhorar a qualidade de vida dos animais acometidos, pois após o início da terapia, há remissão completa dos sinais clínicos.(AU)