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Congenital Addison’s disease in a 5 month old M English Springer Spaniel

Case Study

Congenital Addison’s disease in a 5 month old M English Springer Spaniel

 

History:  A 5-month-old male English springer spaniel was presented for evaluation of acute onset diarrhea and vomiting. On physical examination lethargy, dehydration, hypothermia, and bradycardia was present. Abnormalities on CBC and serum biochemistry were mild lymphocytosis and mild eosinophilia, azotemia, hyperphosphatemia, hypercalcemia, hyponatremia and hypokalemia.

Urinalysis showed SG of SG-1.015, proteinuria, and glycosuria.

 

History:  A 5-month-old male English springer spaniel was presented for evaluation of acute onset diarrhea and vomiting. On physical examination lethargy, dehydration, hypothermia, and bradycardia was present. Abnormalities on CBC and serum biochemistry were mild lymphocytosis and mild eosinophilia, azotemia, hyperphosphatemia, hypercalcemia, hyponatremia and hypokalemia.

Urinalysis showed SG of SG-1.015, proteinuria, and glycosuria.

Image Interpretation

The left adrenal gland was flattened in contour and subnormal in width measuring 1.55 x 0.31 cm at the cranial pole and 0.26 cm at the caudal pole. The right adrenal gland was also flattened and measured 0.35 cm in width. 

DX

Flattened adrenal glands. The profile is consistent with congenital Addison’s. Slight renal pylectasia

Outcome

urine culture and sensitivity as well as treatment for Addison’s disease is recommended

Clinical Differential Diagnosis

Addison’s disease
GI disease – foreign body, infectious (viral, bacterial, helminths)
Renal – acute kidney injury, renal dysplasia

Patient Information

Patient Name : Aiden Bradley
Gender : Male, Intact
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 07_00192

Clinical Signs

  • Diarrhea
  • Vomiting

Exam Finding

  • Bradycardia
  • Dehydration
  • Hypothermia
  • Lethargy

Images

b7_1b3_1

Blood Chemistry

  • Azotemia
  • Calcium, High
  • Phosphorus, High
  • Potassium, Low
  • Sodium, High

CBC

  • Eosinophils, High
  • Lymphocytes, High

Clinical Signs

  • Diarrhea
  • Vomiting

Urinalysi

  • Glucose Present
  • Protein Present
  • Specific Gravity Low