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J Vet Intern Med ; 38(1): 351-357, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-37916616

RESUMEN

Pituitary-dependent hypersomatotropism is rarely diagnosed in dogs and surgical treatment is not reported. A 6-year-10-month male neutered Patterdale Terrier presented with polyuria, polydipsia, progressive pharyngeal stertor, excessive hair growth and widened facial features and paws. Serum insulin-like growth factor-1 concentration via radioimmunoassay was consistent with hypersomatotropism (1783 ng/mL). A pituitary mass was identified on magnetic resonance and computed tomography imaging. Six weeks later, glucosuria, starved hyperglycemia and serum fructosamine above the reference range (467.6 µmol/L, RI 177-314) were documented, consistent with diabetes mellitus. Transsphenoidal hypophysectomy was performed under general anesthesia without complications. Pituitary histopathology identified an acidophil neoplasm, with positive immunostaining for growth hormone. Postoperatively, there was rapid resolution of clinical, biochemical and morphologic changes of hypersomatotropism with persistence of diabetes mellitus. This case demonstrates successful resolution of hypersomatotropism with ongoing diabetes mellitus in a dog after surgical treatment by transsphenoidal hypophysectomy.


Asunto(s)
Acromegalia , Adenoma , Diabetes Mellitus , Enfermedades de los Perros , Adenoma Hipofisario Secretor de Hormona del Crecimiento , Neoplasias Hipofisarias , Perros , Masculino , Animales , Adenoma Hipofisario Secretor de Hormona del Crecimiento/complicaciones , Adenoma Hipofisario Secretor de Hormona del Crecimiento/cirugía , Adenoma Hipofisario Secretor de Hormona del Crecimiento/veterinaria , Hipofisectomía/veterinaria , Hipofisectomía/métodos , Acromegalia/veterinaria , Neoplasias Hipofisarias/complicaciones , Neoplasias Hipofisarias/cirugía , Neoplasias Hipofisarias/veterinaria , Diabetes Mellitus/veterinaria , Adenoma/complicaciones , Adenoma/cirugía , Adenoma/veterinaria , Enfermedades de los Perros/cirugía , Enfermedades de los Perros/diagnóstico
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