RESUMO
A Osteopatia Hipertrófica Pulmonar (OHP) é uma patologia caracterizada por uma neoformação óssea decorrente da resposta periosteal nos ossos longos e nas extremidades, secundária a doenças intratorácicas como tumores primários ou metastáticos; doenças pielogranulomatosas e neoplasias primárias em órgãos pélvicos. Pode afetar várias espécies e não possui predisposição racial e nem relação com o biótipo; porém, é comumente encontrada em animais idosos. Os sinais clínicos comuns são: aumento da temperatura e edema nos membros acometidos, relutância ao movimento e claudicação; contudo, alguns sinais podem estar ligados à doença primária. A fisiopatologia ainda não está totalmente esclarecida; porém, existem diferentes teorias para explicar a ocorrência. O presente trabalho relata três casos, observados em cães atendidos, e diagnosticados como Osteopatia Hipertrófica Pulmonar em centros de Diagnóstico por Imagem.
Pulmonary Hypertrophic Osteopathy (OHP) is a condition characterized by a bone neoformation resulting from periosteal response in long bones and extremities. It is secondary to intrathoracic diseases such as primary or metastatic tumors; pyelo-granulomatous diseases and primary malignancies in the pelvic organs. It may affect several species, and has no racial predisposition or biotype relation, although its commonly found in elder animals. The usual clinical signs are: increased temperature and edema in the affected limbs, reluctance to move and limping. However, some signs can be related to the primary disease. The pathophysiology is not yet fully understood, but there are different theories that explain the disease. This paper reports three cases seen in dogs and diagnosed as Pulmonary Hypertrophic Osteopathy in Diagnostic Imaging centers.
Assuntos
Animais , Cães , Periostite , Periostite/diagnóstico , Periostite/história , Periostite/veterináriaRESUMO
A Osteopatia Hipertrófica Pulmonar (OHP) é uma patologia caracterizada por uma neoformação óssea decorrente da resposta periosteal nos ossos longos e nas extremidades, secundária a doenças intratorácicas como tumores primários ou metastáticos; doenças pielogranulomatosas e neoplasias primárias em órgãos pélvicos. Pode afetar várias espécies e não possui predisposição racial e nem relação com o biótipo; porém, é comumente encontrada em animais idosos. Os sinais clínicos comuns são: aumento da temperatura e edema nos membros acometidos, relutância ao movimento e claudicação; contudo, alguns sinais podem estar ligados à doença primária. A fisiopatologia ainda não está totalmente esclarecida; porém, existem diferentes teorias para explicar a ocorrência. O presente trabalho relata três casos, observados em cães atendidos, e diagnosticados como Osteopatia Hipertrófica Pulmonar em centros de Diagnóstico por Imagem.(AU)
Pulmonary Hypertrophic Osteopathy (OHP) is a condition characterized by a bone neoformation resulting from periosteal response in long bones and extremities. It is secondary to intrathoracic diseases such as primary or metastatic tumors; pyelo-granulomatous diseases and primary malignancies in the pelvic organs. It may affect several species, and has no racial predisposition or biotype relation, although its commonly found in elder animals. The usual clinical signs are: increased temperature and edema in the affected limbs, reluctance to move and limping. However, some signs can be related to the primary disease. The pathophysiology is not yet fully understood, but there are different theories that explain the disease. This paper reports three cases seen in dogs and diagnosed as Pulmonary Hypertrophic Osteopathy in Diagnostic Imaging centers.(AU)
Assuntos
Animais , Cães , Periostite/diagnóstico , Periostite/história , Periostite , Periostite/veterináriaRESUMO
Congenital syphilis has been diagnosed very seldom in ancient populations. The case that we examined comes from San Jeronimo's Church (17th and 18th centuries AD; Mexico City). Coffin 43 contained an incomplete skeleton of an approximately 2-year-old infant. The pathological lesions of this skeleton include bilateral osteochondritis, diaphyseal osteomyelitis, and osteitis and/or periostitis on the long bones. The radiographic appearance depicts symmetrical osteomyelitic foci, particularly at the proximal extremity of both tibiae (Wimberger's sign). The skull exhibits hydrocephaly and periosteal changes on the vault, and the unerupted upper incisors evince dental hypoplasia and other pathological alterations reminiscent of Hutchinson's incisors. All these features strongly suggest a case of early congenital syphilis.
PIP: Debate continues over whether venereal syphilis originated in Europe or the New World. Evidence from skeletal remains suggests the occurrence of treponemal infections in both the New World and Europe before 1492, but the specimens interpreted as suggestive of venereal syphilis await a possible immunological test which could confirm the diagnosis. Venereal syphilis is the only kind of treponematosis which can easily be transmitted within the uterus, leading to congenital syphilis. Congenital syphilis is a very severe disease with a mortality rate of almost 50%. The authors examined the partial skeleton in coffin 43 exhumed in 1976 from the site of San Jeronimo's Church in the center of Mexico City. The skeleton dates from the colonial period of the 17th and 18th centuries, and belonged to a human of approximately two years old. Pathological lesions include bilateral osteochondritis, diaphyseal osteomyelitis, and osteitis and/or periostitis on the long bones. The radiographic appearance depicts symmetrical osteomyelitic foci, particularly at the proximal extremity of both tibiae, while the skull exhibits hydrocephaly and periosteal changes on the vault. The unerupted upper incisors show dental hypoplasia and other pathological alterations reminiscent of Hutchinson's incisors. These features strongly suggest a case of early congenital syphilis. The characteristics of congenital syphilis are described.