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© Kirrawee Veterinary Hospital CANINE DISEASES
Hypothyroidism
The thyroid gland consists of two separate lobes that lie on either
side of the top end of the trachea (wind pipe). This gland produces
thyroid hormones which act on the metabolism of cells in the body,
stimulating both short term activity, and long term growth and
replication. Hypothyroidism (impaired thyroid hormone production) results from
inflammation (lymphocytic thyroiditis) or shrinking (idiopathic
atrophy) of the gland. The underlying cause of these conditions
is unclear. Iodine is a critical component for thyroid production
and is in fact the only area of the body which utilizes iodine.
Deficiency of iodine (goitre) can result in hypothyroidism however
iodine is routinely added to commercial diets so deficiencies
are now rare. Clinical signs of hypothyroidism are wide ranging and relate to
reduced cellular metabolism. These include: Lethargy / dullness Hairloss and dry dull coat. Hairloss is usually in the form of
symmetrical thinning without irritation. Weight gain Hypothermia (low body temperature) Bradycardia (slow heart rate). There may also be a relationship
between hypothyroidism and the development of dilated cardiomyopathy
(stretching of the heart). Failure to cycle (intact females) Anemia Diagnosis is via measurement of thyroid hormone in the blood.
Thyroxine (T4) is the most common hormone tested however the levels
of T4 can fluctuate significantly during the day, and may be influenced
by other illnesses and some drugs. The thyrotropin stimulating
hormone (TSH) stimulation test is a more accurate measure of hypothyroidism.
This test involves the administration of the pituitary hormone
TSH then measuring T4 to assess whether the responding increase
in T4 which occurs in normal animals is present. 3,5,3'triiodothyronine (T3) is another thyroid hormone which may
be measured however this test appears to offer no benefits over
T4 assay. Treatment requires administration of thyroid hormone preparations
generally for the rest of the animals life. Synthetic L-Thyroxine
is the most commonly used compound at a rate of 0.02-0.04mg/kg
divided daily dose. Response to treatment is assessed by follow
up blood testing. Related sites |