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Serum ionized calcium in dogs with chronic renal failure and metabolic acidosis.
Kogika, Marcia M; Lustoza, Marcio D; Notomi, Marcia K; Wirthl, Vera A B F; Mirandola, Regina M S; Hagiwara, Mitika K.
Afiliação
  • Kogika MM; School of Veterinary Medicine, Universidade de São Paulo, Departamento de Clíníca Médica, São Paulo-SP, Brazil. mmkogika@usp.br
Vet Clin Pathol ; 35(4): 441-5, 2006 Dec.
Article em En | MEDLINE | ID: mdl-17123251
BACKGROUND: Chronic renal failure (CRF) is a common disease in dogs, and many metabolic disorders can be observed, including metabolic acidosis and calcium and phosphorus disturbances. Acidosis may change the ionized calcium (i-Ca) fraction, usually increasing its concentration. OBJECTIVE: In this study we evaluated the influence of acidosis on the serum concentration of i-Ca in dogs with CRF and metabolic acidosis. METHODS: Dogs were studied in 2 groups: group I (control group = 40 clinically normal dogs) and group II (25 dogs with CRF and metabolic acidosis). Serum i-Ca was measured by an ion-selective electrode method; other biochemical analytes were measured using routine methods. RESULTS: The i-Ca concentration was significantly lower in dogs in group II than in group I; 56% of the dogs in group II were hypocalcemic. Hypocalcemia was observed in only 8% of dogs in group II when based on total calcium (t-Ca) concentration. No correlation between pH and i-Ca concentration was observed. A slight but significant correlation was detected between i-Ca and serum phosphorus concentration (r = -.284; P = .022), as well as between serum t-Ca and i-Ca concentration (r = .497; P < .0001). CONCLUSION: The i-Ca concentration in dogs with CRF and metabolic acidosis varied widely from that of t-Ca, showing the importance of determining the biologically active form of calcium. Metabolic acidosis did not influence the increase in i-Ca concentration, so other factors besides acidosis in CRF might alter the i-Ca fraction, such as hyperphosphatemia and other compounds that may form complexes with calcium.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Acidose Láctica / Cálcio / Doenças do Cão / Falência Renal Crônica Limite: Animals Idioma: En Revista: Vet Clin Pathol Assunto da revista: MEDICINA VETERINARIA / PATOLOGIA Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Acidose Láctica / Cálcio / Doenças do Cão / Falência Renal Crônica Limite: Animals Idioma: En Revista: Vet Clin Pathol Assunto da revista: MEDICINA VETERINARIA / PATOLOGIA Ano de publicação: 2006 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos