其他骨科--多發性骨随炎(全骨炎)
狗友migu的問題:
今天到愛屋動物醫院去給期待以久的李醫師看診.卻發現一個令我們驚訝的事情.原以為ka ice是因為CHD 的關係造成腿部疼痛.經過李醫師的診療卻發現是因為"多發性骨隨炎"作祟.雖然李醫師有給我們詳細的解答.但我們此病灶還是蠻陌生.不知道大家可否給我一個詳細的資訊.讓我多認識......謝謝大家的幫忙...
以下是李醫師曾回答其他狗友的答覆,我貼過來給你參考
Panosteitis and CHD are two different diseases. Panosteitis is a syndrome of noninfectious inflammation of bone marrow which happens on young age(from 6-7 months to 1 1/2 years old) of large breed dog especially German Shepherd. Most of large breed dogs can have this problem. It can happen more than one time and more than one leg. The most common site are distal humerus, proximal radius, distal femur and proximal tibia. Most of time the signs will go away even without treatment but the pain is very intensive and will make the patient shows significant limping and even will bite owner if you touch the effected leg(bone). So I still give the dog medicine to control the pain. What induced this disease isn't clear enough yet, but possible related to the growth rate or immune related. The good thing for this disease is that it won't induce any progressive problem. Once the dog over 1 1/2 years old(very rare over 2 2 1/2 years old), it won't happen and there is no any side effect or damage inside bone marrow. This disease can be confirmed by good quality of x-ray.
Dr. Lee
譯文如下:
全骨炎和髖關節疾病是二種不同的疾病。全骨炎是一種骨隨的非傳染性發炎綜合症,好發於6,7個月大到1歲半的大型犬,尤其是德國牧羊犬。大部分的大型犬都會有這種問題,且不只發病一次,不只是一隻腳.最常發生在末端肱骨,近端橈骨,末端股骨和近端脛骨.大多時候即使沒有治療病症也會消失,不過伴隨的劇痛會使狗狗呈現明顯地跛行,如果飼主觸碰到傷處甚至會被咬傷.所以我仍會給狗狗藥物以控制疼痛.是什麼引起這疾病目前並不清楚,不過可能和成長速度及相關免疫性有關聯.慶幸的是此疾病不會引起任何更嚴重的問題.一但狗狗過了一歲半(極少超過二歲半)就不會發生,不會有副作用也不會損傷內在的骨隨.此疾病透過詳實的x光就能被確認了.
美國愛屋醫療團隊 李學文醫師