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Severe Hydroxyapatite Deposition Disease in Binturongs (Arctictis binturong)
Kazuya Takehana1, Anneke Moresco2, James G Johnson3
1Ichihara Elephant Kingdom Zoological Park, Ichihara, Chiba, Japan.
Insights
Three young binturongs developed calcinosis circumscripta, a condition causing mineral deposits. This hydroxyapatite deposition disease led to progressive illness, organ damage, and death in two animals.
Area of Science:
- Veterinary Pathology
- Comparative Pathology
- Zoological Medicine
Background:
- Calcinosis circumscripta is a rare condition characterized by calcium and phosphate deposition.
- This condition is infrequently documented in exotic animals, particularly binturongs (Arctictis binturong).
- Potential links to renal dysfunction or primary metabolic abnormalities warrant further investigation.
Purpose of the Study:
- To describe the clinical, diagnostic, and necropsy findings of calcinosis circumscripta in binturongs.
- To identify the mineral composition in affected tissues.
- To characterize the pathological manifestations of this condition in the species.
Main Methods:
- Clinical case observation and supportive care.
- Surgical biopsy for histopathological diagnosis.
- Necropsy with gross and microscopic examination of tissues.
- Spectroscopic microanalysis of footpad biopsies.
Main Results:
- Three of six young binturongs presented with anorexia, lethargy, and footpad swelling.
- Affected animals showed progressive weight loss, hyperphosphatemia, and hyperkalemia.
- Necropsy revealed extensive periarticular, renal, and pulmonary mineralization consistent with hydroxyapatite deposition disease.
Conclusions:
- Calcinosis circumscripta in binturongs is associated with significant morbidity and mortality.
- The condition involves widespread hydroxyapatite deposition, affecting multiple organ systems.
- Further research is needed to elucidate the etiology, whether primary or secondary to renal injury, in this species.
Abstract:
In a collection of 6 young binturongs (Arctictis binturong), 3 presented with anorexia, lethargy, and footpad swelling diagnosed by surgical biopsy as calcinosis circumscripta. Despite supportive care over the next 4 years, affected binturongs had progressive weight loss, hyperphosphatemia, and hyperkalemia and developed large radiodense deposits in tissues adjacent to appendicular joints, thoracolumbar vertebrae, and the sternum. Two binturongs died and necropsies showed severe periarticular mineral deposition with fibrosis and granulomatous inflammation. Additionally, binturongs had mineralization of distal renal tubules, mineralization of the renal interstitium, and marked mineralization of the pulmonary interstitium and peribronchiolar smooth muscle. Foot biopsies from the surviving binturong were evaluated by spectroscopic microanalysis and were positive for hydroxyapatite, Ca10(PO4)6(OH)2. Periarticular and footpad mineralization in these binturongs is consistent with hydroxyapatite deposition disease, which is rarely described in humans and animals as a primary familial condition or a secondary condition often associated with renal injury.
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