Addison’s disease in a 8 year old MN Bichon

History

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.

 

Clinical Differential Diagnosis

Addison’s disease (secondary)

DX

Addison’s disease

Sampling

None

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

Video

Patient Information

Patient Name : Oreo Bains
Age : 8 Years
Gender : Male, Neutered
Species : Canine
Liz Wuz Here : Yes
Status : Complete
Code : 07_00175

Blood Chemistry

  • Potassium, High
  • Sodium, Low

Clinical Signs

  • Anorexia
  • Vomiting

Special Testing

  • Addison’s Positive

Images

oreo_bains_addisons_adrenals_leftoreo_bains_addisons_adrenals_right

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