Observation clinique : un cas d’hyperaldostéronisme primairechez un chat (notice n° 762420)
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| fixed length control field | 04014cam a2200385 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250123102937.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Chamagne, Antoine |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Observation clinique : un cas d’hyperaldostéronisme primairechez un chat |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2022.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 10 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Un chat British Shorthair mâle castré de 7 ans est présenté pour abattement, dysorexie, PUPD et ventroflexion évoluant de manière fluctuante depuis environ une semaine, sans antécédents médicaux notables. Les examens cliniques et hématobiochimiques d’admission mettent en évidence une hypokaliémie et une densité urinaire diminuée en l’absence d’azotémie, pour un chat par ailleurs normotensif. Les examens d’imagerie (échographie et tomodensitométrie abdominale) font état d’une masse surrénalienne droite sans envahissement locorégional ni atteinte visible d’autres organes. Un dosage d’aldostérone très supérieur aux normes de l’intervalle de référence permet d’établir le diagnostic d’hyperaldostéronisme primaire. Une surrénalectomie droite est réalisée par laparotomie, associée à une lobectomie hépatique partielle au vu de l’adhérence macroscopique notée en chirurgie. L’examen histologique est en faveur d’un corticosurrénalome (ou carcinome surrénalien) métastasé au foie. Le chat présente un très bon état général sans traitement jusqu’à dix-sept mois après la prise en charge chirurgicale, où une récidive clinique et locorégionale du corticosurrénalome est notée. Il est alors décidé d’un traitement médical à base de spironolactone et d’inhibiteur de la tyrosine kinase. Le chat décède trente mois après la surrénalectomie d’une insuffisance cardiaque congestive dans un contexte de cardiomyopathie hypertrophique secondaire à l’hypertension artérielle systémique chronique. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | A 7-year-old neutered male British Shorthair cat was presented with a fluctuating pattern of lethargy, dysorexia, PUPD, and ventroflexion for approximately one week, with no notable medical history. Clinical and hematobiochemical examinations on admission revealed hypokaemia and decreased urine density in the absence of azotemia, in an otherwise normotensive cat. Imaging studies (ultrasound and abdominal CT scan) showed a right adrenal mass without locoregional invasion or visible involvement of other organs. An aldosterone level well above the reference range allows the diagnosis of primary hyperaldosteronism. A right adrenalectomy was performed by laparotomy, associated with a partial hepatic lobectomy in view of the macroscopic adhesion noted in surgery. The histological examination was in favor of an adrenal cortical carcinoma metastasized to the liver. The cat was in very good general condition without treatment until seventeen months after surgery, when a clinical and locoregional recurrence of the carcinoma was noted. It was then decided to treat the cat with spironolactone and a tyrosine kinase inhibitor. The cat died 30 months after adrenalectomy of congestive heart failure secondary to chronic systemic hypertension. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | chat |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | surrénale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hyperaldostéronisme primaire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | surrénalectomie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | chat |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | surrénalectomie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | surrénale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hyperaldostéronisme primaire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adrenalectomy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | primary hyperaldosteronism |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adrenal gland |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cat |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | primary hyperaldosteronism |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adrenalectomy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | adrenal gland |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cat |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Fabrès, Virginie |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Benchekroun, Ghita |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Le Nouveau Praticien Vétérinaire - Canine & féline | 19 | 2 | 2022-12-01 | p. 64-69 | 1637-3065 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-le-nouveau-praticien-veterinaire-canine-et-feline-2022-2-page-64?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-le-nouveau-praticien-veterinaire-canine-et-feline-2022-2-page-64?lang=fr&redirect-ssocas=7080</a> |
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