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| * There are two common forms of secondary hyperparathyroisism: | | * There are two common forms of secondary hyperparathyroisism: |
| *# [[Parathyroid Glands - Pathology#Nutritional Hyperparathyroidism|'''Nutritional Hyperparathyroidism''']] | | *# [[Parathyroid Glands - Pathology#Nutritional Hyperparathyroidism|'''Nutritional Hyperparathyroidism''']] |
− | *#* This includes [[Parathyroid Glands - Pathology#Metabolic Bone Disease|Metabolic Bone Disease]]. | + | *#* This includes [[Metabolic Bone Disease]]. |
| *# [[Parathyroid Glands - Pathology#Renal Hyperparathyroidism|'''Renal Hyperparathyroidism''']] | | *# [[Parathyroid Glands - Pathology#Renal Hyperparathyroidism|'''Renal Hyperparathyroidism''']] |
| * Both forms result in increased osteoclastic resorption of bone and deposition of fibro-osteoid matrix that fails to mineralise. | | * Both forms result in increased osteoclastic resorption of bone and deposition of fibro-osteoid matrix that fails to mineralise. |
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| ** Osteoclastic resorption | | ** Osteoclastic resorption |
| ** Fibrous replacement | | ** Fibrous replacement |
− | =====Metabolic Bone Disease===== | + | =====[[Metabolic Bone Disease]]===== |
− | * Metabolic bone disease affects lizards in captivity, particularly young green iguanas
| + | |
− | * The condition is caused by:
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− | ** Dietary deficiency of calcium and vitamin D
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− | *** For example, due to poor lighting (which diminishes viatmin D production).
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− | ** Dietary excess of phosphorus
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− | ** Certain toxicities
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− | ** Diseases of the kidneys, [[Liver - Anatomy & Physiology|liver]] or parathyroid
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− | *** This aetiology is rare
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− | * Clinical signs include:
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− | ** Lethargy
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− | ** Inability to support weight
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− | ** Rounded skull
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− | ** Spontaneous fractures
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− | ** Adult animals also show signs of [[Parathyroid Glands - Pathology#Hypocalcaemia|hypocalcaemia]]
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− | * The skeleton shows reduced density on radiography.
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| ====Renal Hyperparathyroidism==== | | ====Renal Hyperparathyroidism==== |
| * Renal Hyerparathyroidism is mostly seen in the dog as an expression of chronic renal disease. | | * Renal Hyerparathyroidism is mostly seen in the dog as an expression of chronic renal disease. |