Bir Alman Çoban Köpeği Yavrusunda Mandibular Hipertrofik Fibröz Osteodistrofi Olgusu
Hipertrofik osteodistrofi, etiyolojisi bilinmeyen bir gelişim dönemi hastalığıdır ve birincil olarak genç ve hızlı büyüyen büyük ırk köpekleri etkiler. Bu çalışma ile, bir aydır süren iştahta azalma, çiğnemede zorlanma, ağzın sürekli açık kalması ve salya birikimi semptomları olan 6 aylık bir erkek Alman çoban köpeğinde mandibular fibröz hipertrofik osteodistrofi vakası bildirildi. Klinik muayenede mandibulanın kalınlaştığı ve intermandibular boşluğun sert doku ile dolu olduğu belirlendi. Radyografide intermandibular boşluğun kemik benzeri materyal ile dolduğu görüldü. Kalınlaşmış mandibular kitleden alınan biyopside belirgin osteoklastik aktivite ile birlikte kemik trabeküllerinin rezorpsiyonu ve fibröz bağ dokusu ile yer değiştirdiği gözlendi. Kemik boşluğu, kanama ve osteoklastlarla karışık halde masif fibröz doku ile doluydu. Mandibular kitle belirlenen köpeklerde fibröz hipertrofik osteodistrofi dikkate alınmalıdır. Radyografi ve histolojik değerlendirme, fibröz hipertrofik osteodistrofiyi mandibular neoplazilerden ve kranio-mandibular osteopatiden ayırmak için uygun yöntemlerdir.
Mandibular Hypertrophic Osteodystrophy Fibrosa in a German Shepherd Puppy
Hypertrophic osteodystrophy is a developmental disease of unknown etiology and affcts primarily young rapidly growing large andgiant breed dogs. The present study reports a case of mandibular hypertrophic osteodystrophy fibrosa in a 6-month-old male Germanshepherd puppy admitted with a history of one month decreased appetite, difficulty in chewing, and open mouth with continuousdrooling. Clinical examination revealed thickened mandible and filling of the intermandibular space with hard tissue. Radiographyrevealed bone-like material filling the intermandibular space. Biopsy from the thickened mandibular mass demonstrated markedosteoclastic activity and resorption of bone trabeculae that were replaced by fibrous connective tissue. The marrow cavity was filled withmassive fibrous tissue mixed with hemorrhage and osteoclasts. Hypertrophic osteodystrophy fibrosa should be taken into considerationin dogs with mandibular masses. Radiography and histologic evaluation are suitable tools to diffrentiate hypertrophic osteodystrophy.fibrosa from mandibular neoplasms and cranio-mandibular osteopathy.
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