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1.
Ann Endocrinol (Paris) ; 82(2): 107-111, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33727117

RESUMO

Acromegaly is an endocrine disease that leads to elevated production and secretion of growth hormone (GH). It can occur in adult and aged cats and is usually associated with neoplasms, such as functional pituitary macroadenoma of somatotropic cells. In dogs it is usually related to an increase in serum progesterone that induces production of GH by the mammary glands. The main clinical signs are related to insulin resistance and the anabolic effect induced by GH: polyuria, polydipsia, polyphagia, increased tissue growth, weight gain, prognathism, and other changes. The condition can be diagnosed from clinical signals and imaging associated to measurement of serum concentrations of GH and insulin-like growth factor 1 (IGF-1, also known as somatomedin C). The main therapeutic modalities are radiotherapy, hypophysectomy, and several drugs such as somatostatin analogs, dopaminergic agonists and GH receptor antagonists. The present review aims to provide a relevant animal model of acromegaly with an update on the therapeutic approach that may help clinicians to consider the GH axis-IGF-1 system, its pathogenesis and the clinical signs induced by this hormonal disorder.


Assuntos
Acromegalia/veterinária , Doenças do Gato , Doenças do Cão , Acromegalia/diagnóstico , Acromegalia/terapia , Animais , Doenças do Gato/diagnóstico , Doenças do Gato/terapia , Gatos , Doenças do Cão/diagnóstico , Doenças do Cão/terapia , Cães , Agonistas de Dopamina/uso terapêutico , Hormônio do Crescimento/metabolismo , Hipofisectomia , Resistência à Insulina , Fator de Crescimento Insulin-Like I/fisiologia , Radioterapia , Somatostatina/análogos & derivados
2.
Top Companion Anim Med ; 33(3): 73-76, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30243362

RESUMO

A 12-year-old Rottweiler dog was presented with a history of prostration, weight loss and hyporexia for six months. Based on complete blood tests (hematological and biochemical analyses), bone marrow examination and imaging analysis, a diagnosis of chronic myeloid leukemia was made. Treatment with hydroxyurea at a dosage of 18 mg/kg twice daily was not effective in controlling the high count of white blood cells. Furthermore, after 35 days of hydroxyurea treatment, the animal developed onycholysis, with sloughing of the claws of the left pelvic and left thoracic limbs and exposure of the distal phalanx. Interruption of the medication was implemented, with clinical healing of the ungual lesions observed three months after initiation of the drug. White blood cells returned to normal after using cyclophosphamide. Currently, the animal is in complete remission, having a disease-free interval of 575 days without chemotherapy. To the authors' knowledge, this is the first report of hydroxyurea-induced onycholysis within a short-term period in a dog diagnosed with chronic myeloid leukemia.


Assuntos
Antineoplásicos/uso terapêutico , Doenças do Cão/diagnóstico , Hidroxiureia/uso terapêutico , Leucemia Mielogênica Crônica BCR-ABL Positiva/veterinária , Animais , Antineoplásicos/administração & dosagem , Antineoplásicos/efeitos adversos , Ciclofosfamida/administração & dosagem , Ciclofosfamida/uso terapêutico , Diagnóstico Diferencial , Intervalo Livre de Doença , Doenças do Cão/sangue , Doenças do Cão/tratamento farmacológico , Doenças do Cão/mortalidade , Cães , Feminino , Hidroxiureia/administração & dosagem , Hidroxiureia/efeitos adversos , Leucemia Mielogênica Crônica BCR-ABL Positiva/diagnóstico , Leucemia Mielogênica Crônica BCR-ABL Positiva/tratamento farmacológico , Linhagem , Redução de Peso
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