Table 1.
Clinical and laboratory features of 13 cases of feline hyperaldosteronism*
Case no. | Breed | Age (yrs) | Sex | Clinical presentation | K | Na | CK | Urea | Creat | TT4 | U SG | BP (mmHg) | PAC (pmol/l) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | DSH | 13 | FN | Blindness. Bilateral retinal detachment. No evidence of polymyopathy. | ↓ | N | N | ↑ | N | N | 1.034 | 200 | 877 |
2 | DSH | 13 | FN | Blindness. Bilateral retinal detachment. No evidence of polymyopathy. | ↓ | N | nd | N | N | N | nd | 200 | 1551 |
3 | DSH | 8 | MN | Polymyopathy. No ocular signs. | ↓↓ | N | ↑↑ | ↑ | N | nd | 1.037 | 180 | 3158 |
4 | Siamese | 8 | MN | Forelimb stiffness then generalised polymyopathy. No ocular signs. | ↓↓ | N | ↑↑ | N | N | nd | 1.018 | 180 | 3240 |
5 | DSH | 8 | MN | Polymyopathy. No ocular signs. | ↓↓ | N | ↑ | N | N | nd | nd | nd | 1634 |
6 | DSH | 10 | MN | Polymyopathy. Increased retinal vessel tortuosity on fundic examination. | ↓ | N | ↑↑ | N | ↑ | N | nd | 250 | 3712 |
7 | DSH | 12 | FN | Polymyopathy. No ocular signs. | ↓↓ | N | ↑↑ | ↑↑ | ↑ | ↓ | 1.038 | 190 | 8005 |
8 | Burmese | 13 | FN | Mild dysphagia. Polymyopathy. No ocular signs. | ↓↓ | N | ↑ | N | N | nd | nd | 170 | 13 850 |
9 | DSH | 9 | MN | PU/PD. Polymyopathy. No ocular signs. | ↓ | N | ↑↑ | N | N | N | 1.010 | 160 | 4464 |
10 | DSH | 6 | MN | Polymyopathy. No ocular signs. | ↓↓ | N | ↑ | ↑ | ↑ | N | 1.040 | 170 | 6230 |
11 | Burmilla | 10 | FN | PU/PD/PP. Polymyopathy. No ocular signs. | ↓ | N | ↑ | ↑ | N | N | 1.039 | 170 | 6480 |
12 | DSH | 12 | MN | Polymyopathy. Bullous retinopathy on fundic examination. | ↓↓ | N | nd | ↑ | N | N | 1.022 | 195 | 14 653 |
13 | DSH | 12 | MN | PU/PD/PP. Polymyopathy. Bullous retinopathy on fundic examination. | ↓↓ | ↑ | ↑ | ↑↑ | N | ↑ | 1.022 | 250 | 7800 |
DSH=domestic shorthair; FN=female neutered; MN=male neutered; PU=polyuria; PD=polydipsia; PP=polyphagia; K=potassium concentration; Na=sodium concentration; CK=creatine kinase concentration; Urea=urea concentration; Creat=creatinine concentration; TT4 = total thyroxine concentration; USG=urine specific gravity; BP=systolic blood pressure; PACUSG=plasma aldosterone concentration;
↓ below reference range; ↓↓ far below reference range (≤2.5 mmol/l for K); ↑ above reference range; ↑↑ far above reference range (≥1000 iu/l for CK, ≥20 mmol/l for urea); N=normal; nd=not done.