Reporte de caso clínico: Hiperparatiroidismo Nutricional de origen secundario en paciente mular hembra de 8 años de edad.

Abstract

The patient was admitted in pathological decubitus where the clinical examination showed eyelid edema and in the distal portion of the four limbs, hyperthermia and positive digital pulses, it was decided to establish support therapy with Ringer's lactate + Calcium and 50% dextrose to compensate the dehydration process and parenteral feeding because the appetite was decreased and there was no food intake, oxygen therapy was established because she had a marked dyspnea associated with facial edema. The patient was able to reincorporate the day after admission, during the day she was at the station except in the morning hours. She had a relapse of 40 minutes after which she was able to return. On clinical examination there was evidence of detachment of the hoof towards the lateral bulb of the right forelimb, partial but not complete detachment. Based on clinical signs and radiological images, laminitis was diagnosed and anti-inflammatory therapy and vasodilators (flunarizine, acepromacine and isoxuprine and DMSO) were started. DMSO therapy was started as an anti-inflammatory and free radical scavenger. And lymphatic bandage was instituted due to edema in the forelimbs. Digital pulses persist in the 4 limbs, but there was evidence of decreased edema in the head and eyelid edema, he was responding to treatment, and bandage changes were made every 24 hours. Today, compared to previous days, in the afternoon she was more depressed, showing incomplete support of the right forelimb. Cold therapy (cryotherapy) was applied to the forelimbs to evaluate her evolution. The edema in the face decreased along with the palpebral edema, as for the edema of the limbs, these decreased due to the lymphatic drainage performed, but there was an increase in temperature. She finished anti-inflammatory therapy with DMSO three days after admission, cleaning the affected hoof once a day until she observed that it was drier, it was decided to perform wooden shoes to alleviate biomechanical forces and improve walking conditions.