Vet Med - Czech, 2011, 56(12):595-601 | DOI: 10.17221/4437-VETMED
Hypertrophic osteopathy in a dog associated with intra-thoracic lesions: a case report and a review
- 1 Faculty of Medicine, Hacettepe University, Ankara, Turkey
- 2 Faculty of Veterinary Medicine, Ondokuz Mayis University, Samsun, Turkey
This paper reviews hypertrophic osteopathy and describes one case report. Hypertrophic osteopathy is a rare pathologic disease process and is observed secondary to a mass in the thorax. In response to the presence of a mass(es), nonoedematous soft tissue swellings and a diffuse periosteal new bone formation develop in all four limbs. The result is mild to severe lameness. A twelve-year-old sexually intact female Cocker spaniel had undergone radical mastectomy on both sides in another veterinary hospital about two years before presentation in our hospital with lameness of both hind limbs. Pain and soft tissue swelling on the distal parts of extremities were determined in clinical examinations. Radiographs revealed periosteal new bone formation on all the long bones of all four limbs, pelvis and sternum; additionally, intrathoracic masses were observed. Euthanasia was performed five months later. Macroscopic examinations of the lungs revealed diffuse and exuberant masses with grizzled whitish cross-sectional colour and with necrotic and haemorrhagic foci. The radius-ulna, tibia, metacarpal and metatarsal bones of both limbs were examined and collected after the necropsy examination. Bone specimens were thicker and the outer surfaces seemed to be rough. At the histopathologic examination of the lung tissue, ovoid or round shaped and hyperchromatic nucleated diffuse anaplastic mammary gland epithelial cells were observed. According to these findings, these masses were diagnosed as the metastasis of malignant mixed tumours.
Keywords: hypertrophic osteopathy; hypertrophic pulmonary osteopathy; malign mixed tumor; dog
Published: December 31, 2011 Show citation
References
- Armstrong DJ, McCausland EMA, Wright GD (2007): Hypertrophic pulmonary osteoarthropathy (HPOA) (Pierre Marie-Bamberger syndrome): two cases presenting as acute inflammatory arthritis. Description and review of the literature. Rheumatology International 27, 399-402.
Go to original source...
Go to PubMed...
- Becker TJ, Perry RL, Watson GL (1999): Regression of hypertrophic osteopathy in a cat after surgical excision of an adrenocortical carcinoma. Journal of the American Animal Hospital Association 35, 499-505.
Go to original source...
Go to PubMed...
- Brodey RS (1971): Hypertrophic osteoarthropathy in the dog: A clinicopathologic survey of 60 cases. Journal thropathy in a lioness (Panthera Leo). Journal of the American Veterinary Radiology Society 15, 84-90.
Go to original source...
- Castori M, Sinibaldi L, Mingarelli R, Lachman RS, Rimoin DL, Dallapiccola B (2005): Pachydermoperiostosis: an update. Clinical Genetics 68, 477-486.
Go to original source...
Go to PubMed...
- Caywood DD, Kramek BA, Feeney DA, Jhonston GR (1985): Hypertrophic osteopathy associated with a bronchial foreign body and lobar pneumonia in a dog. Journal of the American Veterinary Medical Association 186, 698-700.
Go to original source...
Go to PubMed...
- Cooper RG, Freemont AJ, Riley M, Holt PJ, Anderson DC, Jayson MI (1992): Bone abnormalities and severe arthritis in pachydermoperiostosis. Annals of the Rheumatic Diseases 51, 416-419.
Go to original source...
Go to PubMed...
- Curtis C, Dart AJ, Rawlinson RJ, Hodgson DR (1997): Hypertrophic osteopathy in an alpaca. Australian Veterinary Journal 75, 61-62.
Go to original source...
Go to PubMed...
- Dabir T, Sills AM, Hall CM, Bennett C, Wilson LC, Hennekam RC (2007): Cranio-osteoarthropathy in sibs. Clinical Dysmorphology 16, 197-201.
Go to original source...
Go to PubMed...
- Dickinson CJ, Martin JF (1987): Megakayyocytes and platelet clumps as the cause of finger clubbing. Lancet 2, 1434-1435.
Go to original source...
Go to PubMed...
- Ferguson NM, Levy M, Ramos-Vara JA, Baird DK, Wu CC (2008): Hypertrophic osteopathy associated with mycotic pneumonia in two juvenile elk (Cervus elaphus). Journal of Veterinary Diagnostic Investigation 20, 849-853.
Go to original source...
Go to PubMed...
- Godber LM, Brown CM, Mullaney TP (1993): Polycystic hepatic disease, thoracic granular cell tumor and secondary hypertrophic osteopathy in a horse. Cornell Veterinarian 83, 227-235.
- Grierson JM, Burton CA, Brearley MJ (2003): Hypertrophic osteopathy secondary to pulmonary sarcoma in a cat. Veterinary and Comparative Oncology 1, 227-231.
Go to original source...
Go to PubMed...
- Halliwell WH (1993): Tumorlike lesions of bone. In: Bojrab MJ (ed.): Disease Mechanisms in Small Animal Surgery. 2nd ed. Lea & Febiger, Philadelphia. 932943.
- Headley SA, Ribeiro EA, dos Santos GJVG, Betini CM, Mattos Jr E (2005): Canine hypertrophic osteopathy associated with extra-thoracic lesions. Ciencia Rural Santa Maria 35, 941-944.
Go to original source...
- Jaffe HL (1972): Pulmonary hypertrophic osteoarthropathy. In: Jaffe HL (ed.): Metabolic, Degenerative and Inflamatory Diseases of Bones and Joints. 1st ed. Lea & Febiger, Philadelphia. 286-291. of the American Veterinary Medical Association 159, Johnson KA, Watson ADJ, Page RL (1995): Skeletal dis1242-1256.
- Bush M, James E Jr., Montali RJ, Sauer RM, Heller RH, Gray CW (1974): Hypertrophic pulmonary osteoareases. In: Ettinger SJ, Feldman EC (eds.): Textbook of
- Veterinary Internal Medicine, 4th ed. WB Saunders, Philadelphia. 2077-2103.
- Kabra M, Kabra SK, Ghosh M, Gupta AK, Menon PS (2000): Idiopathic cranio-osteoarthropathy. Indian Pediatrics 37, 659-662.
- Karkucak M, Erturk E, Capkin E, Akyazi H, Ozden G, Tosun M (2007): Primary hypertrophic osteoarthropathy (pachydermoperiostosis): a case report. Rheumatology International 27, 403-405.
Go to original source...
Go to PubMed...
- Latos-Bielenska A, Marik I, Kuklik M, Materna-Kiryluk A, Povysil C, Kozlowski K (2007): Pachydermoperiostosis - critical analysis with report of five unusual cases. European Journal of Pediatrics 166, 1237-1243.
Go to original source...
Go to PubMed...
- Lenehan TM, Fetter AW (1985): Hypertrophic osteopathy. In: Newton CD, Nunamaker DM (eds.): Textbook of Small Animal Orthopaedics. 1st ed. Lippincott Williams & Wilkins, Philadelphia. 603. [Cited on 2011 September 15]. Available from: http://cal.vet.upenn. edu/ projects/saortho/chapter_51/51mast.htm
- Martinez-Ferrer A, Peris P, Alós LI, Morales-Ruiz M, Guañabens N (2009): Prostaglandin E2 and bone turnover markers in the evaluation of primary hypertrophic osteoarthropathy (pachydermoperiostosis): a case report. Clinical Rheumatology 28, 1229-1233.
Go to original source...
Go to PubMed...
- Martinez-Lavin M, Mansilla J, Pineda C, Pijoan C (1994): Evidence of hypertrophic pulmonary osteoarthropathy in human skeletal remains from prehispanic Mesoamerica. Annals of Internal Medicine 12, 238-241.
Go to original source...
Go to PubMed...
- Martinez-Lavin M (2007): Exploring the cause of the most ancient clinical sign of medicine: finger clubbing. Seminars in Arthritis and Rheumatism 36, 380-385.
Go to original source...
Go to PubMed...
- Martinez-Lavin M, Vargas A, Rivera-Vinas M (2008): Hypertrophic osteoarthropathy: a palindrome with a pathogenic connotation. Current Opinion in Rheumatology 20, 88-91.
Go to original source...
Go to PubMed...
- Montgomery R (2003): Miscellaneous orthopaedic diseases. In: Slatter DH (ed.): Textbook of Small Animal Surgery. 3rd ed. WB Saunders, Philadelphia. 2251.
- Morrison WB (2002): Hypertrophic osteopathy. In: Morrison WB (ed.): Cancer in Dogs and Cats: Medical and Surgical Management, 2nd ed. Teton NewMedia, Jackson Hole, Wyoming, USA. 737.
- Nguyen S, Hojjati M (2011): Review of current therapies for secondary hypertrophic pulmonary osteoarthropathy. Clinical Rheumatology 30, 7-13.
Go to original source...
Go to PubMed...
- Panciera RJ, Mathew JS, Ewing SA, Cummings CA, Drost WT, Kocan AA (2000): Skeletal Lesions of Canine Hepatozoonosis Caused by Hepatozoon americanum. Veterinary Pathology 37, 225-230.
Go to original source...
Go to PubMed...
- Piermattei DL, Flo GL, DeCamp CE (2006): Disease conditions in small animals. In: Piermattei DL, Flo GL, DeCamp CE (eds.): Handbook of Small Animal Orthopedics and Fracture Repair. 4th ed. WB Saunders, Philadelphia. 775-791.
Go to original source...
- Rendano VT, Slauson DO (1982): Hypertrophic osteopathy in a dog with prostatic adenocarcinoma and without thoracic metastasis. Journal of the American Veterinary Medical Association 18, 905-909.
- van der Kolk JH, Gelen SN, Jonker FH, Pycock JF, Koeman JP (1998): Hypertrophic osteopathy associated with ovarian carcinoma in a mare. Veterinary Record 143, 172-173.
Go to original source...
Go to PubMed...
- Watrous BJ, Blumenfeld B (2002): Congenital megaesophagus with hypertrophic osteopathy in a 6-yearold dog. Veterinary Radiology and Ultrasound 43, 545-549.
Go to original source...
Go to PubMed...
- Watson AD, Porges WL (1973): Regression of hypertrophic osteopathy in a dog following unilateral intrathoracic vagotomy. Veterinary Record 93, 240-243.
Go to original source...
Go to PubMed...
- Wylie KB, Lewis DD, Pechman RD, Cho DY, Roy A (1993): Hypertrophic osteopathy associated with Mycobacterium fortuitum pneumonia in a dog. Journal of the American Veterinary Medical Association 202, 1986-1988.
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.