Addison’s disease in a 8 year old MN Bichon

Case Study

Addison’s disease in a 8 year old MN Bichon

An 8-year-old NM Bichon was presented for evaluation of acute vomiting and decreased appetite. Abnormalities on serum biochemistry were hyponatremia and hyperkalemia. ACTH stimulation showed subnormal pre-and post-cortisol. ACTH assay was very low.

 

DX

Addison's disease

Sonographic Differential Diagnosis

Flattened isoechoic adrenal glands.
Treatment for Addison’s disease is recommended.

Image Interpretation

The left adrenal gland was uniform and measured 1.0 x 0.18 cm. The right adrenal gland was difficult to visualize, but was flattened and isoechoic measuring 1.1 x 0.2 cm.

Outcome

None

Clinical Differential Diagnosis

Addison’s disease (secondary)

Sampling

None

Patient Information

Patient Name : Oreo Bains
Gender : Male, Neutered
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 07_00175

Clinical Signs

  • Anorexia
  • Vomiting

Images

oreo_bains_addisons_adrenals_leftoreo_bains_addisons_adrenals_right

Blood Chemistry

  • Potassium, High
  • Sodium, Low

Clinical Signs

  • Anorexia
  • Vomiting

Special Testing

  • Addison's Positive
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