Distúrbios hidroeletrolíticos no hipoadrenocorticismo primário agudo em cães: Uma revisão / Hydroelectrolytic disorders in acute primary hypoadrenocorticism in dogs: A review

O hipoadrenocorticismo canino é uma endocrinopatia caracterizada, na sua forma mais comum, pela deficiência de glicocorticoides e mineralocorticoides. Pacientes não tratados podem desenvolver a forma aguda da doença (crise addisoniana), apresentação grave com risco de óbito, caso não sejam realizadas as intervenções adequadas. Entre as alterações apresentadas estão: distúrbios eletrolíticos (como hiponatremia, hipercalemia, hiperfosfatemia e hipercalcemia), desequilíbrio hídrico (desidratação e choque hipovolêmico) e acidobásico. Fluidoterapia intravenosa adequada é a base do manejo inicial da crise addisoniana, que irá reestabelecer o volume intravascular e hidratação, reduzindo a concentração sérica de fósforo e potássio, a acidose lática, a azotemia pré-renal e a acidose metabólica. A reposição de glicocorticoides também contribui para a normalização dessas alterações. Entre as possíveis complicações do tratamento está a mielinólise pontina, decorrente de aumento rápido na concentração sérica de sódio. Diante disso, o conhecimento dos distúrbios associados à essa endocrinopatia auxilia na suspeição e manejo adequado da doença.(AU)

Canine hypoadrenocorticism is an endocrinopathy characterized, in its most common form, by glucocorticoid and mineralocorticoid deficiency, often resulting from immune-mediated destruction of the adrenal glands. Untreated patients may develop the acute form of the disease (Addisonian crisis), a severe presentation with a risk of death if appropriate interventions are not performed. Among the changes presented are: electrolyte disorders (such as hyponatremia, hyperkalemia, hyperphosphatemia and hypercalcemia), water imbalance (dehydration and hypovolemic shock) and acid-base disorder. Adequate intravenous fluid therapy is the basis for the initial management of Addisonian crisis, which will restore intravascular volume and hydration, reducing serum phosphorus and potassium concentrations, lactic acidosis, pre-renal azotemia and metabolic acidosis. Glucocorticoid replacement also contributes to the normalization of these changes. Among the possible complications of the treatment is pontine myelinolysis, resulting from a rapid increase in serum sodium concentration. In view of this, knowledge of the disorders associated with this endocrinopathy helps in the suspicion and adequate management of the disease.(AU)

Abordagem terapêutica hormonal para cistos foliculares ovarianos em vacas leiteiras - relato de casos / Hormonal therapeutic approach for ovarian follicular cysts in dairy cattle - case reports / Enfoque terapéutico hormonal para quistes foliculares ováricos en vacas lecheras - informe de casos

Vacas de alta produção de leite estão mais sujeitas a desequilíbrios metabólicos pós-parto, influenciando na performance reprodutiva subsequente. Alterações relacionadas a funcionalidade do ovário podem desencadear desequilíbrios hormonais e desordens reprodutivas, como a formação de cistos ovarianos, os quais podem interferir no processo de ovulação e impactar substancialmente na eficiência reprodutiva. Neste estudo de caso em específico, sete vacas leiteiras foram diagnosticadas com a presença de cistos foliculares ovarianos. Foram submetidas a terapia hormonal envolvendo o uso de análogos de Hormônio Liberador de Gonadotrofinas (GnRH) e prostaglandina-F2a (PGF-2a), a qual apresentou resultados satisfatórios. A abordagem terapêutica hormonal tem sido amplamente utilizada devido à sua efetividade na resolução dos cistos ováricos e melhoria da função reprodutiva. É fundamental que o médico veterinário tenha conhecimento clínico sobre a abordagem adequada de cistos ovarianos, a fim de proporcionar saúde e bem-estar aos animais, garantindo bons índices em produção de leite e desempenho reprodutivo.

High milk production cows are more likely to postpartum metabolic imbalances, which may influence subsequent reproductive performance. Changes in ovarian functionality can trigger hormonal alterations and reproductive disorders, such as the formation of ovarian cysts, which can interfere with the ovulation process and substantially impact reproductive efficiency. In this specific case study, seven dairy cows were diagnosed with the presence of ovarian follicular cysts. They were submitted to hormonal therapy involving the use of Gonadotropin-Releasing Hormone (GnRH) and prostaglandin F2a (PGF-2a) analogs, which presented satisfactory results. Hormonal therapeutic approaches have been widely employed due to their effectiveness in resolving ovarian cysts and improving reproductive function. It is essential for the veterinarian to have clinical knowledge about the appropriate management of ovarian cysts in order to provide the health and welfare of the animals, ensuring suitable rates in milk production and reproductive performance.

Las vacas de alta producción de leche tienen mayor probabilidad de desequilibrios metabólicos posparto, lo cual puede influir en el rendimiento reproductivo posterior. Los cambios en la funcionalidad ovárica pueden desencadenar alteraciones hormonales y trastornos reproductivos, como la formación de quistes ováricos, que pueden interferir en el proceso de ovulación y afectar sustancialmente la eficiencia reproductiva. En este estudio de caso específico, se diagnosticó la presencia de quistes foliculares ováricos en siete vacas lecheras. Se sometieron a terapia hormonal que incluyó el uso de análogos de Hormona Liberadora de Gonadotropinas (GnRH) y prostaglandina F2α (PGF-2a), lo cual arrojó resultados satisfactorios. Los enfoques terapéuticos hormonales se han utilizado ampliamente debido a su efectividad en la resolución de quistes ováricos y la mejora de la función reproductiva. Es fundamental que el médico veterinario tenga conocimiento clínico sobre el manejo adecuado de los quistes ováricos para garantizar la salud y el bienestar de los animales, asegurando adecuadas tasas de producción de leche y rendimiento reproductivo.

Por que a Endocrinologia e a Nutrologia são essenciais para o sucesso da Prevenção e do Tratamento das lesões em Equinos? / Why Endocrinology and Nutrology are essential for the success of Prevention and Treatment of Equine Injuries?

A autora aborda o tema relativo à inflamação sistêmica em cavalos de esporte não apenas na parte relativa a recuperação clínica ou cirúrgica destes animais mas também em seu desempenho. Para tal, a análise de fatores e doenças ligadas a endocrinologia e a nutrologia dos equinos vem ganhando destaque na Medicina Veterinária, à semelhança da Medicina Humana. Assim, mostra informações relevantes quanto a alimentação dos cavalos, nos dias de hoje, e no que se refere às doenças endócrinas como a resistência à insulina, a disfunção da pars intermedia da pituitária (PPID) e hiperlipidemia, propondo um maneja adequado com exercícios físicos, mudança do padrão alimentar e tratamento medicamentoso.(AU)

Disfunções endócrinas mais comuns e que podem afetar a atividade reprodutiva de cães / Endocrine dysfunctions that can affect reproductive activity in dogs

As disfunções hormonais podem interagir com eixo hipotalamo-hipófise-gônadas (H/H/G) resultando em alteração da espermatogênese e impactando negativamente a fertilidade dos machos. As endocrinopatias na espécie canina são mais frequentes nas fêmeas e muitas vezes os sinais clínicos iniciais envolvem alopecias e alterações de peso, comportamento e de metabolismo. As disfunções hormonais comuns em cães machos incluem o hipotireoidismo, hiperplasia prostática benigna e os tumores testiculares. Cães idosos geralmente apresentam alterações hormonais dependentes da idade, mas a literatura é escassa e conflitante em relação a esta condição, assim o objetivo dessa revisão é informar e atualizar conceitos relacionados às disfunções hormonais que podem causar infertilidade em cães machos com vistas a ferramentas mais modernas de diagnósticos e avaliação seminal.(AU)

Hormonal dysfunctions may interact with hypothalamus, pituitary, gonads (H/H/G) axis resulting in altered spermatogenesis and negatively impacting male fertility. Endocrinopathies in the canine species are more frequent in females and often the initial clinical signs involve alopecia and changes in weight, behavior, and metabolism. Common hormonal dysfunctions in male dogs include hypothyroidism, benign prostatic hyperplasia, and testicular tumors. Older dogs usually present age- dependent hormonal changes, but the literature is scarce and conflicting regarding this condition, thus the aim of this review is to inform and update concepts related to hormonal dysfunctions that can cause infertility in male dogs with a view to more modern diagnostic tools and seminal evaluation.(AU)

Prevalence, clinical and epidemiological features of feline hyperthyroidism at a veterinary teaching hospital in Brazil: a retrospective study / Prevalência, características clínicas e epidemiológicas do hipertireoidismo felino em um hospital veterinário universitário no Brasil: um estudo retrospectivo

The hyperthyroidism is the most frequently endocrinopathy in cats. The increasing number of diagnoses over time is due to the greater familiarity with the disease and the development of increasingly sensitive diagnostic tools available. This study aimed to retrospectively evaluate the prevalence, clinical characteristics and risk factors of hyperthyroidism in cats admitted at one of the largest veterinary teaching hospital in Brazil. Between 2002 and 2007, 234 cats were admitted to the veterinary teaching hospital of the University of São Paulo, Brazil. Total thyroxine (T4t) serum concentration was measured from all cats. Also analyzed the medical charts of cats. Of the 234 cats, 26 (11.1%) were considered hyperthyroid (T4t ≥3.8 µg/dL). Of hese 26 cats, only two (7.7%) were initially diagnosed as hyperthyroid. The age of cats ranged from 6 to 27 years old (13.1 ± 4.5 years). Twelve patients (46.2%) were female and 14 (53.8%) were male. Eight (30.8%) cats were Siamese, while the others were mixed breed (69.2%). Dry food was the most common food type consumed by cats. There was a high prevalence of hyperthyroid cats with concomitant chronic kidney disease (CKD). This study sheds light on the importance of routinely monitoring feline hyperthyroidism and brings epidemiological and clinical data of this endocrinopathy in cats from one of the largest veterinary teaching hospitals in the country.(AU)

O hipertireoidismo é a endocrinopatia mais frequente em gatos. O aumento do número de diagnósticos ao longo do tempo deve-se à maior familiaridade com a doença e ao desenvolvimento de ferramentas diagnósticas cada vez mais sensíveis. Este estudo teve como objetivo avaliar retrospectivamente a prevalência, características clínicas e fatores de risco do de hiperti-reoidismo em gatos atendidos em um dos maiores hospitais veterinários universitários do Brasil. Entre 2002 e 2007, 234 gatos foram admitidos no hospital veterinário universitário da Universidade de São Paulo, Brasil. A concentração sérica total de tiroxina (T4t) foi mensurada em todos os gatos. Também foram analisados os prontuários médicos dos gatos. Dos 234 gatos, 26 (11,1%) foram considerados hipertireoideos (T4t ≥3,8 µg/dL). Desses 26 gatos, apenas dois (7,7%) foram diagnosticados inicialmente com hipertireoidismo. A idade dos gatos variou de 6 a 27 anos (13,1 ± 4,5 anos). Doze pacientes (46,2%) eram do sexo feminino e 14 (53,8%) do sexo masculino. Oito (30,8%) eram siameses, enquanto os demais eram mestiços (69,2%). A ração seca foi o tipo de alimento mais consumido. Houve alta prevalência de gatos hipertireoideos com doença renal crônica (DRC) concomitante. Este estudo esclarece a importância do monitoramento rotineiro do hipertireoidismo felino e traz dados epidemiológicos e clínicos desta endocrinopatia em gatos de um dos maiores hospitais veterinários do País.(AU)

Juvenile panhypopituitarism in a dog - what are the therapeutic challenges?

Background: Juvenile panhypopituitarism is an endocrinopathy that affects young dogs and must be differentiated from other causes of height disorders, as one could have a deficiency of one or more adenohypophysis hormones, besides growth hormone. Diagnosis consists of excluding endocrine and non-endocrine causes. Treatment requires administration of heterologous porcine growth hormone or progestins, as well as supplementing other hormones that are deficient in the circulation. The prognosis for these patients tends to be unfavorable and they have a shorter life expectancy. The present case aimed to report the therapeutic challenges in a dog diagnosed with juvenile panhypopituitarism. Case: This study presents the case of a 6-month-old crossbred Labrador/Brazilian Fila dog, not neutered, 6.7 kg of body weight (body condition score 5/9), with a growth disorder and persistence of the puppy coat, when compared to other members of the same litter. During inspection, it was possible to observe an undersized dog and soft puppy coat, besides no bone irregularities or joint tenderness was noted. The other physical examination parameters were within the normal range for the species. No changes in complete blood count and only increases in urea, cholesterol and alkaline phosphatase activity were observed. Thyroid and abdominal ultrasound (US) examination did not reveal any remarkable changes. After serum dosage of insulin-like growth factor, thyroxine, thyrostimulating hormone, and cortisol, the patient was diagnosed with juvenile panhypopituitarism and underwent therapy with medroxyprogesterone and thyroid hormone supplementation. Monitoring was instituted at intervals of 3, 6, and 12 weeks, and currently every 3 or 4 months and the IGF-1 values normalized after 6 months with. After 8 months of therapy, the patient had good body growth and bone mineralization compared to the time of diagnosis. However, skeletal development was completed only 12 months after hormone replacement, accompanied by the presence of vertebral osteophytes and coxofemoral osteoarticular alterations. Considering chronic use of progestins, ovariosalpingohysterectomy (OSH) was recommended, but for personal reasons, the owners chose to do not submit her to surgery. After 18 months of treatment, the dog starts to exhibit prostration, selective appetite, and increased abdominal volume. After imaging exam, she was forwarded for OSH, due to consistent findings of pyometra. Subsequently, even the supervision of possible comorbidities involved in the chronic use of progestins was maintained at half-yearly intervals, the bitch returned to the service with skin thickening, increased limb volume, and macroglossia after 60 months of therapy. At this point IGF-1 values were higher when compared to the previous measurements and the application of medroxyprogesterone was suspended. Its supplementation was reintroduced only after 8 months when IGF-1 was significantly reduced. To date, the patient is close to 6 years of age and with a good quality of life. Discussion: The greatest therapeutic challenge for these patients involves dealing with the adverse effects of progestins, mainly related to reproductive disorders and alopecia at the application site, as well as maintaining adequate hormone replacement in order to avoid hypersomatotropism. Although longevity is lower in these individuals, the patient in this report has achieved 6 years of age and has had an excellent quality of life so far.

Subfertilidade em éguas: como diagnosticar a causa? / Subfertility in mares: how to diagnose the cause?

A subfertilidade em éguas é um problema comum e uma importante causa de perdas econômicas. A redução da fertilidade é um multifatorial e, apesar de muitas vezes estar relacionada a problemas uterinos, as causas originadas de alterações oocitárias, ovarianas e endócrinas são muito frequentes e de difícil diagnóstico. A presente revisão tem como objetivo discutir as causas e o diagnóstico da subfertilidade em éguas relacionadas às alterações endócrinas e ovarianas

Subfertility in mares is a common problem and an importante cause of economic losses. Reduced fertility is multifactorial and, although it is often related to uterine problems, altered oocyte quality and endocrine profiles are frequent and of complex diagnosis. The present review aims to discuss causes and diagnosis of subfertility in mares related to endocrine and ovarian problems.

Epidermal renewal after treatment of primary canine hypothyroidism using levothyroxine

Background: Primary canine hypothyroidism, an endocrine disorder that causes imbalances in the hypothalamus-pituitarythyroid axis, is a common cause of endocrine dermatoses, which frequently presents with opaque dry brittle hair. Tissue changes are also visible, such as myxedema, hyperkeratosis, epidermal atrophy, alopecia, and others. This paper describes the skin changes caused by primary hypothyroidism in a female dog before and after treatment with levothyroxine. Case: This case study involved a 7-year-old Dalmatian bitch with a history of weight gain and changes such as rough dry brittle hair. For about a year, the dog also had also presented symmetrical erythematous and alopecia skin lesions in the regions of the hind limbs, lower back and tail, progressive lethargy and fatigue after exercise. A hemogram showed mild normocytic and normochromic regenerative anemia, as well as mild leukopenia and neutropenia. Biochemical tests revealed increased levels of creatinine, total cholesterol, and triglycerides. Skin biopsy revealed the presence of comedones in the epidermis and acanthosis and trichilemmal keratinization. Hormonal tests revealed high TSH and low free T4 and total T4 levels. A cervical ultrasound scan showed changes in the thyroid glands, with hypoechoic parenchyma, in addition to increased size of the right lobe, suggesting thyroiditis. Based on these exams, the patient was diagnosed with primary hypothyroidism, and treatment with levothyroxine was instituted. Discussion: Around 90% of dogs with hypothyroidism show a decrease in total T4 and about 65-75% of them show an increase in TSH levels. In endocrinopathy, there is a decrease in the expression of T3 receptors in the keratinocytes and genes responsible for epidermal renewal. Also, molecules that affect epidermal differentiation bind to intracellular receptors belonging to the steroid/thyroid hormone superfamily. In this study, however, the application of the minimum levothyroxine dose restored the normal epidermal pattern for the species and the remaining parameters returned to normal. The hormone T3 acts in the differentiation of keratinocytes, a fact that, although not yet proven, is believed to be indirect and mediated by the epidermal growth factor or by the expression of the genes responsible for the renewal of the epidermis. Besides, some effects on the epidermis caused by deficiency of thyroid hormones may be due to secondary vitamin A deficiency, which is necessary for epithelial differentiation and binding epidermal growth factor (EGF) to the cell. Still, there is a theory that sex hormones also affect the differentiation of the epidermis, as studies show that deficiency causes effects similar to those caused by hypothyroidism. Some studies indicate the investigation of the relationship between secondary vitamin D deficiency and the increased cellularity of the epidermis of the spayed hypothyroid female rats. Additionally, the mechanism of the formation of hyperkeratosis in hypothyroidism is not yet elucidated. T3 is known to regulate keratin gene expression and perhaps also epidermal maturation, epithelial cycle, and normal keratin synthesis. The single treatment with levothyroxine in the female dog was effective in promoting the restoration of gene expression to T3 in keratinocytes.

Obesidade em gatos: o papel do tecido adiposo / Obesity in cats: the role of adipose tissue

O tecido adiposo já considerado um depósito de armazenamento de energia inerte, é atualmente reconhecido como um órgão endócrino que participa ativamente do metabolismo de carboidratos e lipídeos, da regulação energética e de cascatas inflamatórias. Em indivíduos obesos, o controle destes processos é alterado, e em longo prazo ocorrem mudanças no metabolismo energético que podem predispor a resistência periférica à insulina, a diabetes mellitus tipo 2 e a dislipidemia. Assim como em humanos, a obesidade em gatos também culmina nestas alterações energéticas. Com isto, esta revisão tem como objetivo abordar a função endócrina do tecido adiposo, bem como a sua correlação com a obesidade, usando gatos como modelo experimental, comparando os achados entre os indivíduos obesos e não obesos.

Adipose tissue, once considered an inert energy storage depot, is now recognized as an endocrine organ that actively participates in carbohydrate and lipid metabolism, energy regulation and inflammatory cascades. In obese individuals, the control of these processes is altered, and long-term changes in energy metabolism may predispose to peripheral insulin resistance, type 2 diabetes mellitus and dyslipidemia. As in humans, obesity in cats also culminates in these energy changes. Therefore, this review aims to address the endocrine function of adipose tissue, as well as its correlation with obesity, using cats as an experimental model and comparing the findings between obese and non-obese individuals.

Obesidade em gatos: o papel do tecido adiposo / Obesity in cats: the role of adipose tissue

O tecido adiposo já considerado um depósito de armazenamento de energia inerte, é atualmente reconhecido como um órgão endócrino que participa ativamente do metabolismo de carboidratos e lipídeos, da regulação energética e de cascatas inflamatórias. Em indivíduos obesos, o controle destes processos é alterado, e em longo prazo ocorrem mudanças no metabolismo energético que podem predispor a resistência periférica à insulina, a diabetes mellitus tipo 2 e a dislipidemia. Assim como em humanos, a obesidade em gatos também culmina nestas alterações energéticas. Com isto, esta revisão tem como objetivo abordar a função endócrina do tecido adiposo, bem como a sua correlação com a obesidade, usando gatos como modelo experimental, comparando os achados entre os indivíduos obesos e não obesos.(AU)

Adipose tissue, once considered an inert energy storage depot, is now recognized as an endocrine organ that actively participates in carbohydrate and lipid metabolism, energy regulation and inflammatory cascades. In obese individuals, the control of these processes is altered, and long-term changes in energy metabolism may predispose to peripheral insulin resistance, type 2 diabetes mellitus and dyslipidemia. As in humans, obesity in cats also culminates in these energy changes. Therefore, this review aims to address the endocrine function of adipose tissue, as well as its correlation with obesity, using cats as an experimental model and comparing the findings between obese and non-obese individuals.(AU)

Infecção de trato urinário inferior por Citrobacter sp em cadela com hipoadrenocorticismo / Citrobacter sp lower urinary tract infection in a bitch with hypoadrenocorticism

Citrobacter sp. é um microrganismo frequentemente encontrado em vagina de cadelas, mas corresponde a menos de 3% do total de microrganismos isolados em urocultura. O hipoadrenocorticismo (HA) é uma doença endócrina incomum e que leva a poliúria e hipostenúria. O objetivo deste trabalho é relatar o caso de uma fêmea da espécie canina, da raça Teckel, 11 anos, atendida com queixa de urina de odor alterado há vários dias, além de vômito, diarreia e inapetência há três dias, e poliúria e polidipsia há 2 meses, com histórico de tratamento anterior com mitotano para hiperadrenocorticismo. O diagnóstico foi de ITU por Citrobactersp., além de HA iatrogênico. Como destaques nos exames, relação sódio:potássio de 22,6 foi observada, sugestiva de HA, que foi confirmado por teste de estimulação com ACTH, além de urina inicialmente hipostenúrica (densidade 1,006), o que pode ser atribuído ao washout medular renal devido à hiponatremia causada pelo hipoadrenocorticismo. O tratamento foi feito com amoxicilina associada a ácido clavulânico por 20 dias, além da terapia específica para HA com prednisona e fludrocortisona, que foi continuado. A paciente recuperou-se bem, a densidade urinária aumentou após início do tratamento para HA e não houve recidiva da ITU em período de acompanhamento de 8 meses. Acredita-se que a baixa densidade urinária causada pelo HA tenha sido fator essencial para a ocorrência da ITU por Citrobacter.

Citrobacter sp. is a normal constituent of bitches' vagina, but it is related to less than 3% of total isolated microorganism in uroculture. Hypoadrenocorticism (HA) is an endocrine disease uncommonly diagnosed that leads to polyuria and hypostenuria. The aim of this work is report the case of a Teckel bitch, 11 years old, attended with complaint of altered urinary smell for several days, besides vomiting, diarrhea and inappetence for three days, and polyuria and polydispsia for two months, with previous mitotane treatment for hyperadrenocorticism. The diagnosis was Citrobacter UTI, besides iatrogenic HA. The most important exam results include sodium:potassium ratio of 22.6, suggestive of HA, that was confirmed by ACTH stimulation test. Besides, hypostenuria (urinary specific gravity ­ USG - of 1.006) was noted, attributed to renal medular washout due to hyponatremia seen in HA. Therapy comprised amoxicillin associated with clavulanic acid for 20 days, in addition to specific therapy for AH with prednisone and fludrocortisone. The patient recovery well, USG increased after the beginning of the treatment for HA and there was no UTI reinfection for a 8 month period. It is believed that low USG due to HA was essential for the occurrence of Citrobacter UTI.

Laminite endocrinopática em equinos com síndrome metabólica: características clínicas, tratamento e evolução em três pacientes ˗ relato de caso / [Endocrinopathic laminitis in horses with metabolic syndrome: clinical characteristics, treatment and evolution in three patients ˗ case report]

Laminite endocrinopática designa os casos de laminite cuja etiologia está associada a uma endocrinopatia. Cavalos com síndrome metabólica equina (SME) apresentam adiposidade regional e obesidade. Existe uma correlação positiva entre obesidade e resistência à insulina. Este relato descreve três casos de laminite endocrinopática em cavalos com SME. Os pacientes apresentaram escore de condição corporal (ECC) variando de 8 a 9 (escala de 1 a 9), sensibilidade ao teste de pinçamento do casco e claudicação de grau 3 ou 4 (escala de 1 a 4). Não havia histórico de cólica recente, trauma ou excesso de exercício. O tratamento incluiu medicação anti-inflamatória não esteroidal, repouso na baia, restrição energética para perda de peso, revestimento e bandagem dos membros, conforme a necessidade de cada paciente. A restrição alimentar ajudou no tratamento da SME e reduziu o ECC. Tratamento medicamentoso, casqueamento e bandagem diminuíram o grau de claudicação. Conclui-se que o tratamento anti-inflamatório não esteroidal, a restrição energética, o repouso em baia, o casqueamento e a bandagem do casco são eficazes no tratamento da laminite endocrinopática em cavalos com síndrome metabólica equina.(AU)

Endocrinopathic laminitis refers to cases of laminitis whose etiology is associated with an endocrinopathy. Horses with Equine Metabolic Syndrome (EMS) have regional adiposity and obesity. There is a positive correlation between obesity and insulin resistance. This report describes three cases of endocrinopathic laminitis in horses with EMS. Patients had body condition score (BCS) ranging from 8 to 9 (scale from 1 to 9), sensitivity to the hoof clamping test and claudication grade 3 or 4 (scale from 1 to 4). There was no history of recent colic, trauma or over exercise. Treatment included non-steroidal anti-inflammatory medication, stall rest, energy restriction for weight loss, hoofing and hoof bandage as needed by each patient. Dietary restriction helped in the treatment of EMS and reduced BCS. Drug treatment, hoofing and hoof bandage decreased the degree of lameness. It is concluded that non-steroidal anti-inflammatory treatment, energy restriction, stall rest, hoofing and hoof bandage are effective in the treatment of endocrinopathic laminitis in horses with equine metabolic syndrome.(AU)

Laminite endocrinopática em equinos com síndrome metabólica: características clínicas, tratamento e evolução em três pacientes - relato de caso / [Endocrinopathic laminitis in horses with metabolic syndrome: clinical characteristics, treatment and evolution in three patients - case report]

Laminite endocrinopática designa os casos de laminite cuja etiologia está associada a uma endocrinopatia. Cavalos com síndrome metabólica equina (SME) apresentam adiposidade regional e obesidade. Existe uma correlação positiva entre obesidade e resistência à insulina. Este relato descreve três casos de laminite endocrinopática em cavalos com SME. Os pacientes apresentaram escore de condição corporal (ECC) variando de 8 a 9 (escala de 1 a 9), sensibilidade ao teste de pinçamento do casco e claudicação de grau 3 ou 4 (escala de 1 a 4). Não havia histórico de cólica recente, trauma ou excesso de exercício. O tratamento incluiu medicação anti-inflamatória não esteroidal, repouso na baia, restrição energética para perda de peso, revestimento e bandagem dos membros, conforme a necessidade de cada paciente. A restrição alimentar ajudou no tratamento da SME e reduziu o ECC. Tratamento medicamentoso, casqueamento e bandagem diminuíram o grau de claudicação. Conclui-se que o tratamento anti-inflamatório não esteroidal, a restrição energética, o repouso em baia, o casqueamento e a bandagem do casco são eficazes no tratamento da laminite endocrinopática em cavalos com síndrome metabólica equina.(AU)

Endocrinopathic laminitis refers to cases of laminitis whose etiology is associated with an endocrinopathy. Horses with Equine Metabolic Syndrome (EMS) have regional adiposity and obesity. There is a positive correlation between obesity and insulin resistance. This report describes three cases of endocrinopathic laminitis in horses with EMS. Patients had body condition score (BCS) ranging from 8 to 9 (scale from 1 to 9), sensitivity to the hoof clamping test and claudication grade 3 or 4 (scale from 1 to 4). There was no history of recent colic, trauma or over exercise. Treatment included non-steroidal anti-inflammatory medication, stall rest, energy restriction for weight loss, hoofing and hoof bandage as needed by each patient. Dietary restriction helped in the treatment of EMS and reduced BCS. Drug treatment, hoofing and hoof bandage decreased the degree of lameness. It is concluded that non-steroidal anti-inflammatory treatment, energy restriction, stall rest, hoofing and hoof bandage are effective in the treatment of endocrinopathic laminitis in horses with equine metabolic syndrome.(AU)

Aortic and iliac thrombosis in a dog with adrenal-dependent hypercortisolism due to bilateral adrenocortical adenoma / Trombose aórtica e ilíaca em um cão com hipercortisolismo adrenal-dependente devido a adenoma adrenocortical bilateral

Hypercortisolism is a common endocrinopathy in dogs; however, in a few cases, bilateral functional adrenocortical adenomas cause spontaneous disease, and thrombotic events are considered uncommon complications. The aim of this report was to describe a case of bilateral adrenocortical adenoma in a dog with hyperadrenocorticism associated with distal aortic and iliac thrombosis, with emphasis on clinical and pathological aspects. A 15-year-old spayed female Dachshund with a previous clinical history of hyperadrenocorticism presented with acute bilateral hindlimb paraparesis. A vertebral thoracolumbar radiography was performed and did not present any evidence of intervertebral disk disease or vertebral abnormalities; however, abdominal ultrasound and vascular Doppler evaluation revealed bilateral adrenal enlargement in addition to an aortic and external iliac artery thrombus. The animal was euthanized. At necropsy, both adrenal glands were enlarged by well-demarcated neoplastic nodules in the parenchyma, and a thrombus caudal to the abdominal aorta bifurcation within the external iliac arteries that extended to the left external iliac artery was noted. Histological evaluation revealed a well-differentiated neoplastic proliferation of cortical epithelial cells, consistent with bilateral adenoma, and muscular necrosis in the pelvic limbs was also observed. Bilateral functional adrenocortical adenoma; although, very rare, should be considered as a cause of hypercortisolism, and aortic thrombosis in dogs should be considered as a possible consequence.(AU)

Hipercortisolismo é uma endocrinopatia comum em cães, no entanto, apenas em poucos casos adenomas adrenocorticais funcionais bilaterais são a causa de doença espontânea, e eventos trombóticos são considerados complicações incomuns. O objetivo deste relato foi descrever um caso de adenoma adrenocortical bilateral em um cão com hiperadrenocorticismo associado a trombose aórtica distal e ilíaca, com ênfase nos aspectos clínicos e patológicos. Um cão, Dachshund, fêmea castrada, de 15 anos, com histórico clínico prévio de hiperadrenocorticismo, apresentou paraparesia aguda dos membros posteriores. Foi realizada radiografia toracolombar vertebral, a qual não mostrou nenhuma evidência de doença do disco intervertebral ou anormalidades vertebrais; no entanto, ultrassonografia abdominal e Doppler vascular revelaram um trombo na aorta e artéria ilíaca externa, e adrenomegalia bilateral. O animal foi submetido à eutanásia. Na necropsia, ambas as adrenais estavam distendidas por nódulos neoplásicos bem delimitados no parênquima e notou-se um trombo caudalmente à bifurcação da aorta abdominal às artérias ilíacas externas, estendendo-se à ilíaca externa esquerda. Na avaliação histológica observou-se proliferação neoplásica bem diferenciada de células epiteliais corticais, consistente com adenoma bilateral; também foi observada necrose muscular nos membros pélvicos. O adenoma adrenocortical funcional bilateral, embora muito raro, deve ser considerado uma causa de hipercortisolismo, e a trombose aórtica em cães deve ser considerada uma possível consequência.(AU)

Picrosirius red and Masson’s Trichrome staining techniques as tools for detection of collagen fibers in the skin of dogs with endocrine dermatopathologies / Picrosirius red e Tricrômico de Masson como ferramentas para detecção de fibras colágenas em pele de cães com dermatopatologias endócrinas

Canine endocrinopathies, such as hypothyroidism and hyperadrenocortism,induce typical dermatological alterations. Collagen fibers are significant for the maintenance of structural integrity,as well as in the determination of tissue function. This study aimed at assessing the coloration caused by Picrosirius Red staining under circular polarization and Masson Trichrome staining, as tools to quantify the total collagen in the skin of dogs exhibiting endocrine dermatopathies. Skin samples taken from dogs with hypothyroidism and hyperadrenocorticism were stained using Hematoxylin and Eosin (HE), Masson’s Trichrome (MT) and Picrosirius Red (PSR). The animals with hyperadrenocorticism revealed a higher percentage of collagen area than did the animals with hypothyroidism PSRp (hypothyroidism = 43.76 ± 0.8255 and hyperadrenocorticism = 47.08 ± 0.8584). The percentage of the collagen area using MT between the groups is given in parenthesis (hypothyroidism = 52.06 ± 0.9371, hyperadrenocorticism = 61 ± 0.7529 and control = 56.88 ± 0.64) (p <0.05). It is therefore, evident that the special stains employed are useful in estimating the percentage of collagen area in the skin, as they revealed that dogs with hypothyroidism had lower collagen deposition whereas those animals with hyperadrenocorticism showed higher quantity of collagen in the dermis.

Endocrinopatias caninas como hipotireoidismo e o hiperadrenocortismo causam alterações dermatológicas características. As fibras de colágeno desempenham um papel vital na manutenção da integridade estrutural e também na determinação da função dos tecidos. O objetivo deste estudo foi avaliar as colorações de picrosirius red sob polarização circular e coloração tricômio de Masson como ferramentas para quantificar o colágeno total da pele de cães com dermatopatias endócrinas. Amostras de pele obtidas de cães com hipotireoidismo e hiperadrenocorticismo foram coradas por Hematoxilina e Eosina (HE), Tricrômio de Masson (MT) e Picrosirius red (PSR). A porcentagem de área de colágeno foi maior nos animais com hiperadrenocorticismo e menor nos animais com hipotireoidismo PSRp (hipotireoidismo = 43,76 ± 0.8255 e hiperadrenocorticismo = 47,08 ± 0.8584). Já a porcentagem de área de colágeno no MT entre os grupos (hipotireoidismo = 52,06 ± 0.9371, hiperadrenocorticismo = 61 ± 0,7529 e controle = 56,88 ± 0.64) (p <0.05). Concluiu-se que as colorações especiais utilizadas são úteis para avaliar a porcentagem de área de colágeno na pele, pois demonstraram que cães com hipotireoidismo demonstraram uma diminuição na deposição de colágeno e os animais com hiperadrenocorticismo apresentaram maior quantidade de colágeno na derme.

Picrosirius red and Massons Trichrome staining techniques as tools for detection of collagen fibers in the skin of dogs with endocrine dermatopathologies / Picrosirius red e Tricrômico de Masson como ferramentas para detecção de fibras colágenas em pele de cães com dermatopatologias endócrinas

Canine endocrinopathies, such as hypothyroidism and hyperadrenocortism,induce typical dermatological alterations. Collagen fibers are significant for the maintenance of structural integrity,as well as in the determination of tissue function. This study aimed at assessing the coloration caused by Picrosirius Red staining under circular polarization and Masson Trichrome staining, as tools to quantify the total collagen in the skin of dogs exhibiting endocrine dermatopathies. Skin samples taken from dogs with hypothyroidism and hyperadrenocorticism were stained using Hematoxylin and Eosin (HE), Massons Trichrome (MT) and Picrosirius Red (PSR). The animals with hyperadrenocorticism revealed a higher percentage of collagen area than did the animals with hypothyroidism PSRp (hypothyroidism = 43.76 ± 0.8255 and hyperadrenocorticism = 47.08 ± 0.8584). The percentage of the collagen area using MT between the groups is given in parenthesis (hypothyroidism = 52.06 ± 0.9371, hyperadrenocorticism = 61 ± 0.7529 and control = 56.88 ± 0.64) (p <0.05). It is therefore, evident that the special stains employed are useful in estimating the percentage of collagen area in the skin, as they revealed that dogs with hypothyroidism had lower collagen deposition whereas those animals with hyperadrenocorticism showed higher quantity of collagen in the dermis.(AU)

Endocrinopatias caninas como hipotireoidismo e o hiperadrenocortismo causam alterações dermatológicas características. As fibras de colágeno desempenham um papel vital na manutenção da integridade estrutural e também na determinação da função dos tecidos. O objetivo deste estudo foi avaliar as colorações de picrosirius red sob polarização circular e coloração tricômio de Masson como ferramentas para quantificar o colágeno total da pele de cães com dermatopatias endócrinas. Amostras de pele obtidas de cães com hipotireoidismo e hiperadrenocorticismo foram coradas por Hematoxilina e Eosina (HE), Tricrômio de Masson (MT) e Picrosirius red (PSR). A porcentagem de área de colágeno foi maior nos animais com hiperadrenocorticismo e menor nos animais com hipotireoidismo PSRp (hipotireoidismo = 43,76 ± 0.8255 e hiperadrenocorticismo = 47,08 ± 0.8584). Já a porcentagem de área de colágeno no MT entre os grupos (hipotireoidismo = 52,06 ± 0.9371, hiperadrenocorticismo = 61 ± 0,7529 e controle = 56,88 ± 0.64) (p <0.05). Concluiu-se que as colorações especiais utilizadas são úteis para avaliar a porcentagem de área de colágeno na pele, pois demonstraram que cães com hipotireoidismo demonstraram uma diminuição na deposição de colágeno e os animais com hiperadrenocorticismo apresentaram maior quantidade de colágeno na derme.(AU)

Achados clínicos, laboratoriais e ultrassonográficos de cão diabético com cistite enfisematosaˆipt / Clinical, laboratory and ultrasonographic findings of diabetic dog with emphysematous cystitisˆien

Background:Emphysematous cystitis is a rare inflammatory disease of the lower urinary tract characterized by the ac-cumulation of gas within the wall and lumen of the urinary bladder. The clinical manifestations of emphysematous cystitis resemble those of bacterial cystitis, often hindering the differentiation between the two. In this work, we report a case of emphysematous cystitis in a diabetic dog. The diagnosis of cystitis was followed by ultrasonography for the early detec-tion of emphysematous cystitis, which showed the presence of multifocal and irregular hyperechoic interfaces forming a distal reverberation artifact.Case: A 9-year-old female dog was referred to VETCLINIC Veterinary Hospital 24 h with a history of urinary incontinence, polydipsia, polyuria, and diabetes mellitus. At first, the blood glucose was measured and found to be 376 mg/dL. Blood count, biochemical measurements of alkaline phosphatase (AF), urea, creatinine, and alanine aminotransferase (AAT), urinalysis, urine culture with antimicrobial susceptibility testing, and abdominal ultrasonography were performed. The hematological exams showed that the serum was lipemic and with hemolysis; the values of AAT, AF, and total plasma proteins were above the reference values; hematocrit was below the normal level; erythrocyte rouleaux and thrombocyto-sis with platelet aggregates were present. Urinalysis showed the presence of traces of proteins, glucose, and occult blood as well as granular and hyaline cylinders and transitional epithelial cells. In urine culture, growth of the aerobic bacteria Klebsiella pneumoniae was observed, being sensitive to most of the antimicrobials. Ultrasonography showed the pres-ence of gas in the wall of the urinary bladder, besides a discrete thickening of the wall, compatible with the diagnosis of emphysematous cystitis. Discussion: The first report of emphysematous cystitis in dogs was made in 1926 in a diabetic dog...

Achados clínicos, laboratoriais e ultrassonográficos de cão diabético com cistite enfisematosaˆipt / Clinical, laboratory and ultrasonographic findings of diabetic dog with emphysematous cystitisˆien

Background:Emphysematous cystitis is a rare inflammatory disease of the lower urinary tract characterized by the ac-cumulation of gas within the wall and lumen of the urinary bladder. The clinical manifestations of emphysematous cystitis resemble those of bacterial cystitis, often hindering the differentiation between the two. In this work, we report a case of emphysematous cystitis in a diabetic dog. The diagnosis of cystitis was followed by ultrasonography for the early detec-tion of emphysematous cystitis, which showed the presence of multifocal and irregular hyperechoic interfaces forming a distal reverberation artifact.Case: A 9-year-old female dog was referred to VETCLINIC Veterinary Hospital 24 h with a history of urinary incontinence, polydipsia, polyuria, and diabetes mellitus. At first, the blood glucose was measured and found to be 376 mg/dL. Blood count, biochemical measurements of alkaline phosphatase (AF), urea, creatinine, and alanine aminotransferase (AAT), urinalysis, urine culture with antimicrobial susceptibility testing, and abdominal ultrasonography were performed. The hematological exams showed that the serum was lipemic and with hemolysis; the values of AAT, AF, and total plasma proteins were above the reference values; hematocrit was below the normal level; erythrocyte rouleaux and thrombocyto-sis with platelet aggregates were present. Urinalysis showed the presence of traces of proteins, glucose, and occult blood as well as granular and hyaline cylinders and transitional epithelial cells. In urine culture, growth of the aerobic bacteria Klebsiella pneumoniae was observed, being sensitive to most of the antimicrobials. Ultrasonography showed the pres-ence of gas in the wall of the urinary bladder, besides a discrete thickening of the wall, compatible with the diagnosis of emphysematous cystitis. Discussion: The first report of emphysematous cystitis in dogs was made in 1926 in a diabetic dog...(AU)

Acompanhamento clínico-laboratorial de obesidade associada ao hipotireoidismo em cão / Clinical-laboratory follow-up of obesity associated with hypothyroidism in a dog

O hipotireoidismo canino é uma endocrinopatia comumente diagnosticada em cães. Os principais sinais clínicos presentes são os metabólicos (letargia, ganho de peso e intolerância a exercícios) e dermatológicos (pelagem seca e quebradiça, alopecia endócrina e mixedema). No entanto, alterações neuromusculares, cardíacas e reprodutivas também podem estar presentes. O diagnóstico é realizado através de informações do histórico do animal, sinais clínicos, exames de triagem e testes hormonais. O tratamento de escolha é a suplementação com levotiroxina sódica e a resposta do tratamento é satisfatória com remissão dos sinais clínicos, em até 6 meses de suplementação. O objetivo deste trabalho foi relatar um caso de hipotireoidismo em um cão. Uma paciente canina, SRD, fêmea, castrada, quatro anos e pesando 44,5kg foi encaminhada para a consulta endocrinológica apresentando letargia, ganho de peso, termofilia e discreta rarefação pilosa na cauda. No hemograma e nas dosagens bioquímicas (ALT, GGT, FA, triglicerídeos e colesterol) não foram observadas alterações significativas. As dosagens hormonais de TSH e T4 livre foram realizadas e os resultados mostraram um TSH acima dos valores de referência para a normalidade (3,58 ng/mL) e um T4 livre abaixo dos valores de referência para a normalidade (0,41 ng/mL), assim o diagnóstico foi de hipotireoidismo. O tratamento instituído foi com levotiroxina sódica na dose de 20 mcg/ kg uma vez ao dia. Após 60 dias foi realizado o teste de reposição com levotiroxina e a reavaliação da paciente. Houve resposta satisfatória ao tratamento, com remissão dos sinais clínicos de letargia, intolerância a exercícios e ganho de peso.(AU)

Canine hypothyroidism is an endocrinopathy usually diagnosed in dogs. The main clinical signs present are metabolic (lethargy, weight gain and exercise intolerance) and dermatologic (dry, brittle hair coat, endocrine alopecia and myxedema). However, neuromuscular, cardiac, and reproductive changes may also be present. The diagnosis is accomplished by history, physical examination findings, clinicopathologic and measurement of hormones. The treatment of choice is levothyroxine sodium supplementation and treatment response is satisfactory with remission of clinical signs within 6 months of supplementation. This study aimed to report a case of hypothyroidism in a dog. A canine, mixed-breed, female, neutered, 4 years and weight 44.5 kg was forwarded to endocrinology assignment showing lethargy, weight gain, cold intolerance and discrete hair rarefaction on the tail. At the complete blood count and serum biochemistry (ALT, GGT, AP, triglycerides and cholesterol) no significant changes were observed. Baseline serum TSH and free T4 concentration were performed and the diagnosis of hypothyroidism was achieved by results of high TSH (3.58 ng / mL) and low free T4 (0.41 ng / mL). The treatment instituted was levothyroxine sodium dose of 20 mcg/ kg SID, after 60 days the replacement assay with levothyroxine and patient's evaluation was applied. There was a satisfactory response to the treatment by remission of clinical signs of lethargy, exercise intolerance and weight gain.(AU)

Acompanhamento clínico-laboratorial de obesidade associada ao hipotireoidismo em cão / Clinical-laboratory follow-up of obesity associated with hypothyroidism in a dog

O hipotireoidismo canino é uma endocrinopatia comumente diagnosticada em cães. Os principais sinais clínicos presentes são os metabólicos (letargia, ganho de peso e intolerância a exercícios) e dermatológicos (pelagem seca e quebradiça, alopecia endócrina e mixedema). No entanto, alterações neuromusculares, cardíacas e reprodutivas também podem estar presentes. O diagnóstico é realizado através de informações do histórico do animal, sinais clínicos, exames de triagem e testes hormonais. O tratamento de escolha é a suplementação com levotiroxina sódica e a resposta do tratamento é satisfatória com remissão dos sinais clínicos, em até 6 meses de suplementação. O objetivo deste trabalho foi relatar um caso de hipotireoidismo em um cão. Uma paciente canina, SRD, fêmea, castrada, quatro anos e pesando 44,5kg foi encaminhada para a consulta endocrinológica apresentando letargia, ganho de peso, termofilia e discreta rarefação pilosa na cauda. No hemograma e nas dosagens bioquímicas (ALT, GGT, FA, triglicerídeos e colesterol) não foram observadas alterações significativas. As dosagens hormonais de TSH e T4 livre foram realizadas e os resultados mostraram um TSH acima dos valores de referência para a normalidade (3,58 ng/mL) e um T4 livre abaixo dos valores de referência para a normalidade (0,41 ng/mL), assim o diagnóstico foi de hipotireoidismo. O tratamento instituído foi com levotiroxina sódica na dose de 20 mcg/ kg uma vez ao dia. Após 60 dias foi realizado o teste de reposição com levotiroxina e a reavaliação da paciente. Houve resposta satisfatória ao tratamento, com remissão dos sinais clínicos de letargia, intolerância a exercícios e ganho de peso.

Canine hypothyroidism is an endocrinopathy usually diagnosed in dogs. The main clinical signs present are metabolic (lethargy, weight gain and exercise intolerance) and dermatologic (dry, brittle hair coat, endocrine alopecia and myxedema). However, neuromuscular, cardiac, and reproductive changes may also be present. The diagnosis is accomplished by history, physical examination findings, clinicopathologic and measurement of hormones. The treatment of choice is levothyroxine sodium supplementation and treatment response is satisfactory with remission of clinical signs within 6 months of supplementation. This study aimed to report a case of hypothyroidism in a dog. A canine, mixed-breed, female, neutered, 4 years and weight 44.5 kg was forwarded to endocrinology assignment showing lethargy, weight gain, cold intolerance and discrete hair rarefaction on the tail. At the complete blood count and serum biochemistry (ALT, GGT, AP, triglycerides and cholesterol) no significant changes were observed. Baseline serum TSH and free T4 concentration were performed and the diagnosis of hypothyroidism was achieved by results of high TSH (3.58 ng / mL) and low free T4 (0.41 ng / mL). The treatment instituted was levothyroxine sodium dose of 20 mcg/ kg SID, after 60 days the replacement assay with levothyroxine and patient's evaluation was applied. There was a satisfactory response to the treatment by remission of clinical signs of lethargy, exercise intolerance and weight gain.