Nutritional Secondary Hyperparathyroidism Case Challenge Discussion

Husbandry-related conditions are very common in reptiles, and nutritional secondary hyperparathyroidism is frequently recognized in clinical practice. The discussion portion of this Case Challenge reviews pathogenesis, history, examination findings, and diagnostic test results with radiography, and clinical pathology. Key points of case management are explored, including correction of husbandry and dietary factors, management of hypocalcemia, as well as stabilization and supportive care. Prognosis and prevention are also discussed.

Article  Presenting Problem 

Presenting problem: Paresis, Paralysis, and Tremors in Sugar Gliders

The sugar glider is a small, nocturnal marsupial native to New Guinea and Australia. Sugar gliders are omnivores that eat arthropods and plant products, such as eucalyptus phloem sap, manna, honeydew, nectar, and pollen in the wild. Although there is little medical information available on sugar gliders in captivity, nutritional secondary hyperparathyroidism or metabolic bone disease is recognized as a common problem in this species.

Client Education Handout 

Metabolic Bone Disease in Reptiles and Amphibians

What is metabolic bone disease or nutritional secondary hyperparathyroidism? This educational handout will help the reptile and amphibian owner understand this common problem from the underlying cause and signs of illness to the testing and treatment commonly recommended by your veterinarian.