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1528  Section 13  Diseases of Bone and Joint

              dogs led to increased bone remodeling. While markers   Osteoporosis is rarely diagnosed in cats and dogs, in part
  VetBooks.ir  of bone formation (alkaline phosphatase and osteocal­  possibly due to not considering it as a differential diag­
              cin) may be increased in cats with hyperthyroidism,
                                                              nosis for lameness or bone pain, and the insensitivity of
              definitive data on the effect of thyrotoxicosis on bone
              are lacking.                                    radiography for its diagnosis. The future use of improved
                                                              diagnostic testing such as DEXA and CT may reveal that
               Drugs  –  in humans, ciclosporin and phenobarbital   osteoporosis is more common in these  species than is
            ●
              have been associated with osteoporosis.         currently thought.

              Further Reading


            Craig LE, Dittmer KE, Thompson KG. Bones and joints.   Jones B, Mooney CT. Drugs used in the management of
              In: Grant Maxie M, ed. Jubb, Kennedy and Palmer’s   thyroid and parathyroid disease. In: Maddison J, Page S,
              Pathology of Domestic Animals, 6th edn. St Louis, MO:   Church D, eds. Small Animal Clinical Pharmacology,
              Elsevier, 2016, pp. 160–63.                       2nd edn. Edinburgh: WB Saunders, 2008, pp. 498–508.
            Dittmer KE, Thompson KG. Vitamin D metabolism     Mellanby RJ. Beyond the skeleton: the role of vitamin D
              and rickets in domestic animals: a review. Vet Pathol   in companion animal health. J Small Anim Pract
              2011; 48: 389–407.                                2016; 57: 175–80.
            Hardcastle MR, Dittmer KE. Fibroblast growth factor 23:   Segev G, Meltzer H, Shipov A. Does secondary renal
              a new dimension to diseases of calcium‐phosphorus   osteopathy exist in companion animals? Vet Clin North
              metabolism. Vet Pathol 2015; 52: 770–84.          Am Small Anim Pract 2016; 46: 1151–62.
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