07_00180 Chloe S Addison’s disease with normal sized adrenal glands

History

A 3-year-old SF Beagle with a history of chronic cough and PuPd was referred for evaluation of azotemia and electrolyte abnormalities. SG was 1.005. Abnormalities on serum biochemistry were azotemia, hyperphosphatemia, hyponatremia (135) and hyperkalemia (8).

 

Clinical Differential Diagnosis

Addison’s disease (primary, iatrogenic), chronic kidney disease

DX

Addison’s disease

Sampling

ACTH stimulation test was consistent with hypoadrenocorticism.

Sonographic Differential Diagnosis

Sonographically normal adrenal glands

Image Interpretation

The right adrenal gland was normal in width with minor heterogenous changes and measured 2.03 x 0.54 cm at the cranial pole and 0.46 cm at the caudal pole. The left adrenal gland was normal in width measuring 1.51 x 0.45 cm at the cranial pole and 0.45 cm at the caudal pole.

UA Specific Gravity Range

1.005

Outcome

None

Video

Patient Information

Age : 3 Years
Gender : Female, Spayed
Species : Canine
Status : Complete

Blood Chemistry

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

Clinical Signs

  • Coughing
  • PU-PD

Images

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