PMID- 10772486 OWN - NLM STAT- MEDLINE DCOM- 20000613 LR - 20190513 IS - 0891-6640 (Print) IS - 0891-6640 (Linking) VI - 14 IP - 2 DP - 2000 Mar-Apr TI - Frequency of pulmonary mineralization and hypoxemia in 21 dogs with pituitary-dependent hyperadrenocorticism. PG - 151-6 AB - The purpose of this study was to determine the frequency of hypoxemia and pulmonary mineralization using 99mTc-methylene diphosphonate (99mTc-MDP) in dogs with pituitary-dependent hyperadrenocorticism (PDH). Twenty-one dogs with PDH were prospectively evaluated using thoracic radiography, arterial blood gas analysis, and bone phase and pulmonary perfusion scintigraphy (using 99mTc-macro-aggregated albumin [99mTc-MAA]). The radiographs and bone and perfusion studies were evaluated subjectively. An averaged quantitative count density ratio was calculated between the thorax and cranial thoraco-lumbar vertebrae from lateral thoracic 99mTc-MDP images. Thoracic:vertebral ratios were calculated using 99mTc-MDP studies from 21 control dogs. The thoracic:vertebral ratios were compared between the 2 groups (PDH and control). The mean age (+/-SD) of the 21 PDH dogs was 10.2 (+/-3) years, whereas the mean age of the control group was 9.8 (+/-3) years. Seven of the 21 dogs with PDH were hypoxemic (defined as an arterial partial pressure of oxygen [PaO2] < 80 mm Hg) with an average PaO2 (+/-SD) of 62 (+/-15) mm Hg. Of the 7 hypoxemic dogs, 2 were found to have pulmonary mineralization based on bone scintigraphic images. Pulmonary perfusion abnormalities were not identified using 99mTc-MAA in any of the 21 PDH dogs. Six PDH dogs had an abnormal interstitial pulmonary pattern and 5 of these dogs were hypoxemic. The average quantitative thoracic:vertebral ratio was not significantly different between the PDH and control dogs (0.5 +/- 0.4 versus 0.4 +/- 0.1, P = .16). Causes of hypoxemia other than pulmonary thromboembolism should be considered in dogs with PDH. Pulmonary mineralization may contribute to hypoxemia in dogs with PDH. FAU - Berry, C R AU - Berry CR AD - Department of Anatomy, Physiological Sciences and Radiology, North Carolina State University, College of Veterinary Medicine, Raleigh, USA. bkberry@iol15.com FAU - Hawkins, E C AU - Hawkins EC FAU - Hurley, K J AU - Hurley KJ FAU - Monce, K AU - Monce K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Vet Intern Med JT - Journal of veterinary internal medicine JID - 8708660 RN - 0 (Minerals) RN - X89XV46R07 (Technetium Tc 99m Medronate) SB - IM MH - Adrenal Cortex Diseases/complications/diagnostic imaging/*veterinary MH - Animals MH - Dog Diseases/diagnostic imaging/*physiopathology MH - Dogs MH - Female MH - Hypoxia/etiology/*veterinary MH - Lung Diseases, Interstitial/diagnostic imaging/*veterinary MH - Male MH - Minerals/*metabolism MH - Pituitary Diseases/diagnostic imaging/*veterinary MH - Pulmonary Embolism/diagnosis/veterinary MH - Radionuclide Imaging MH - Technetium Tc 99m Medronate EDAT- 2000/04/20 09:00 MHDA- 2000/06/17 09:00 CRDT- 2000/04/20 09:00 PHST- 2000/04/20 09:00 [pubmed] PHST- 2000/06/17 09:00 [medline] PHST- 2000/04/20 09:00 [entrez] AID - 10.1892/0891-6640(2000)014<0151:fopmah>2.3.co;2 [doi] PST - ppublish SO - J Vet Intern Med. 2000 Mar-Apr;14(2):151-6. doi: 10.1892/0891-6640(2000)014<0151:fopmah>2.3.co;2.