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1.
Horm Behav ; 105: 66-85, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30063897

RESUMO

Thyroid hormones (THs) play a pivotal role in the regulation of metabolic activity throughout all life stages. Cross-talk with other hormone systems permits THs to coordinate metabolic changes as well as modifications in growth and maintenance in response to changing environmental conditions. The scope of this review is to explain the relevant basics of TH endocrinology, highlight pertinent topics that have been investigated so far, and offer guidance on measuring THs in non-invasively collected matrices. The first part of the review provides an overview of TH biochemistry, which is necessary to understand and interpret the findings of existing studies and to apply non-invasive TH monitoring. The second part focuses on the role of THs in mammalian ecology, and the third part highlights the role of THs in growth and maintenance. The fourth part deals with the advantages and difficulties of measuring THs in non-invasively collected samples. This review concludes with a summary that considers future directions in the study of THs.


Assuntos
Meio Ambiente , Mamíferos , Testes de Função Tireóidea/métodos , Hormônios Tireóideos/análise , Envelhecimento/metabolismo , Animais , Mamíferos/crescimento & desenvolvimento , Mamíferos/metabolismo , Mamíferos/fisiologia , Testes de Função Tireóidea/veterinária , Hormônios Tireóideos/metabolismo
2.
J Vet Intern Med ; 38(1): 111-122, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38032018

RESUMO

BACKGROUND: Nonthyroidal illness syndrome (NTIS) can result in thyroid function test alterations that mimic hypothyroidism. The duration of NTIS-induced changes in dogs is not well-described. OBJECTIVES: Document alterations in thyroid function tests during NTIS and recovery, and the time necessary for their resolution. ANIMALS: From 103 dogs sampled, 25 euthyroid dogs with acute, resolvable illness having a low serum total thyroxine (TT4) concentration on admission were analyzed. METHODS: Prospective observational study. Serum TT4 concentration was measured in 103 dogs within 4 hours of admission. If below the reference interval (RI), subsequent serum samples were obtained every 24 hours from admission until discharge (acute phase) and at 2 weeks and 4 weeks after discharge (recovery phase). Serum samples were submitted for batch measurement of serum TT4, free thyroxine (fT4), total 3,5,3'-triiodothyronine (TT3), and thyroid-stimulating hormone (TSH) concentrations. RESULTS: In the cohort of dogs analyzed, serum TT4, TT3, and fT4 concentrations were below the RI in 100%, 80%, and 16% at admission; 20%, 80%, and 0% at discharge; 4%, 8%, and 0% at 2 weeks; and 0%, 0%, and 0% at 4 weeks, respectively. Serum TSH concentration was within the RI in 100% at admission and discharge, and above the RI in 4% and 12% at 2 weeks and 4 weeks, respectively. CONCLUSIONS AND CLINICAL IMPORTANCE: Naturally occurring NTIS in dogs induces alterations in thyroid function tests during acute illness and recovery. Measurement of serum TT4 concentration 2 to 4 weeks after discharge or serum fT4 concentration by ED during illness is recommended for accurate assessment of thyroid function in acutely ill dogs.


Assuntos
Testes de Função Tireóidea , Tiroxina , Humanos , Cães , Animais , Testes de Função Tireóidea/veterinária , Tri-Iodotironina , Hormônios Tireóideos , Tireotropina
3.
J Vet Intern Med ; 37(5): 1626-1640, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37498128

RESUMO

Erroneous thyroid function test results can occur because of drugs that alter thyroid hormone physiology in one or more aspects, including synthesis, secretion, distribution, and metabolism. Research since publication of the last review in the Journal of Veterinary Internal Medicine (JVIM) 20 years ago has evaluated the effects of amiodarone, zonisamide, inhalant anesthetics, clomipramine, trilostane, and toceranib on thyroid function tests in the dog. In addition, recent work on the effects of glucocorticoids, sulfonamides, phenobarbital, and nonsteroidal anti-inflammatory drugs will be reviewed. Awareness of these effects is necessary to avoid misdiagnosis of hypothyroidism and unnecessary treatment.


Assuntos
Amiodarona , Doenças do Cão , Hipotireoidismo , Cães , Animais , Testes de Função Tireóidea/veterinária , Hipotireoidismo/diagnóstico , Hipotireoidismo/veterinária , Hormônios Tireóideos , Amiodarona/uso terapêutico , Antiarrítmicos/uso terapêutico , Doenças do Cão/tratamento farmacológico
4.
J Toxicol Environ Health A ; 75(4): 201-12, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22352329

RESUMO

The role of polybrominated diphenyl ethers (PBDE) was investigated in the occurrence of feline hyperthyroidism (FH) by evaluating 15 PBDE congeners in serum from 62 client-owned (21 euthyroid, 41 hyperthyroid) and 10 feral cats. Total serum PBDE concentrations in euthyroid cats were not significantly different from those of hyperthyroid cats. Total serum PBDE in feral cats were significantly lower than in either of the groups of client-owned cats. Total serum PBDE did not correlate with serum total T4 concentration. Ten samples of commercial canned cat food and 19 dust samples from homes of client-owned cats were analyzed. Total PBDE in canned cat food ranged from 0.42 to 3.1 ng/g, and total PBDE in dust from 510 to 95,000 ng/g. Total PBDE in dust from homes of euthyroid cats ranged from 510 to 4900 ng/g. In dust from homes of hyperthyroid cats, total PBDE concentrations were significantly higher, ranging from 1100 to 95,000 ng/g. Dust PBDE and serum total T4 concentration were also significantly correlated. Estimates of PBDE exposures calculated from canned cat food and dust data suggest that domestic cats are primarily exposed through ingestion of household dust. These findings indicate further study of the role of PBDE is needed in the development of FH, which might identify the cat as a model and sentinel for humans with toxic nodular goiter (TNG).


Assuntos
Doenças do Gato/induzido quimicamente , Disruptores Endócrinos/toxicidade , Exposição Ambiental/efeitos adversos , Poluentes Ambientais/toxicidade , Retardadores de Chama/toxicidade , Éteres Difenil Halogenados/toxicidade , Hipertireoidismo/veterinária , Ração Animal/análise , Animais , Doenças do Gato/sangue , Gatos , Modelos Animais de Doenças , Poeira/análise , Disruptores Endócrinos/análise , Disruptores Endócrinos/sangue , Exposição Ambiental/análise , Poluentes Ambientais/análise , Poluentes Ambientais/sangue , Retardadores de Chama/análise , Retardadores de Chama/metabolismo , Contaminação de Alimentos/análise , Éteres Difenil Halogenados/análise , Éteres Difenil Halogenados/sangue , Hipertireoidismo/sangue , Hipertireoidismo/induzido quimicamente , Projetos Piloto , Inquéritos e Questionários , Testes de Função Tireóidea/veterinária , Tireotropina/sangue , Tiroxina/sangue
5.
Vet Clin North Am Equine Pract ; 27(1): 115-28, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21392657

RESUMO

Regulatory control of the thyroid gland in horses is similar to other species. Clinical signs of hypothyroidism in adult horses are minimal. Several drugs and physiologic and pathophysiological states can cause circulating thyroid hormone concentrations to be low without actual pathology of the thyroid gland. Thus, nonthyroidal factors must be ruled out before a diagnosis of hypothyroidism can be made. Thyroid hormone supplementation seems to be well tolerated, even in euthyroid horses. Neonatal foals have very high circulating thyroid hormone concentrations, and deficiencies result in significant clinical signs. Unlike in adults, two syndromes of hypothyroidism are well described in foals.


Assuntos
Doenças dos Cavalos/diagnóstico , Doenças dos Cavalos/tratamento farmacológico , Doenças da Glândula Tireoide/veterinária , Hormônios Tireóideos/uso terapêutico , Animais , Diagnóstico Diferencial , Feminino , Cavalos , Hipotireoidismo/diagnóstico , Hipotireoidismo/tratamento farmacológico , Hipotireoidismo/veterinária , Masculino , Doenças da Glândula Tireoide/diagnóstico , Doenças da Glândula Tireoide/tratamento farmacológico , Testes de Função Tireóidea/veterinária , Glândula Tireoide/fisiopatologia
6.
J Vet Intern Med ; 34(2): 607-615, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32017235

RESUMO

BACKGROUND: No gold standard assay for serum total thyroxine (TT4) concentration in small animals exists. The Microgenics DRI TT4 (MTT4) assay is used by most reference laboratories. HYPOTHESIS/OBJECTIVES: IDEXX Catalyst Total T4 (CTT4) and Immulite 2000 TT4 (ITT4) results will agree with MTT4 results. ANIMALS: Residual small animal sera were randomized before reanalysis (dogs, CTT4 versus MTT4: n = 176, ITT4 versus MTT4: n = 74; cats, CTT4 versus MTT4: n = 319, ITT4 versus MTT4: n = 79). METHODS: Validation and method comparison study. Serum TT4 concentration was measured on all analyzers. Pairwise Pearson correlation, cumulative sum linearity test, regression, and Bland-Altman method were performed. RESULTS: CTT4 versus MTT4 in dogs: constant bias (y-intercept) was 0.10 µg/dL (95% confidence interval [CI], 0.05-0.15), proportional bias (slope) was 0.86 µg/dL (95% CI, 0.83-0.89); in cats, constant bias was 0.13 µg/dL (95% CI, 0.08-0.20) and proportional bias was 1.01 µg/dL (95% CI, 0.98-1.03), but the test for linearity failed. Bland-Altman plots identified increasing disagreement with increasing serum TT4 concentrations. ITT4 versus MTT4 in dogs, constant bias was 0.14 µg/dL (95% CI, 0.04-0.22) and 0.22 µg/dL (95% CI, 0.09-0.33) for cats; proportional bias was 0.76 (95% CI, 0.72-0.80) for dogs and 0.71 (95% CI, 0.69-0.74) for cats. CONCLUSIONS AND CLINICAL IMPORTANCE: Differences in CTT4 and MTT4 results affect interpretation at higher serum TT4 concentrations. The ITT4 proportional bias will underestimate serum TT4 concentrations in dogs and cats, compared to MTT4. Serial TT4 measurements should be done using the same assay.


Assuntos
Doenças do Gato/sangue , Doenças do Cão/sangue , Hipertireoidismo/veterinária , Hipotireoidismo/veterinária , Testes de Função Tireóidea/veterinária , Tiroxina/sangue , Animais , Bioensaio , Gatos , Cães , Hipertireoidismo/sangue , Hipertireoidismo/diagnóstico , Hipotireoidismo/sangue , Hipotireoidismo/diagnóstico , Testes de Função Tireóidea/métodos
7.
J Vet Intern Med ; 23(4): 856-61, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19566850

RESUMO

BACKGROUND: Various protocols using different doses of recombinant human thyrotropin (rhTSH) in TSH stimulation testing have been described. However, the influence of TSH dosage on thyroxine (T4) concentration has not yet been evaluated in suspected hypothyroid dogs. OBJECTIVE: To evaluate the effectiveness of 2 doses of rhTSH. ANIMALS: Fifteen dogs with clinical signs consistent with hypothyroidism and abnormal stimulation results with 75 microg rhTSH and 18 clinically healthy dogs. METHODS: All dogs were stimulated with 75 and 150 microg rhTSH IV in a 1st and 2nd stimulation test, respectively. Blood samples were taken before and 6 hours after rhTSH administration for determination of total T4 concentration. RESULTS: Using the higher dose led to a normal test interpretation in 9 of the 15 dogs, in which stimulation had been abnormal using the lower dose. Based on follow-up information, hypothyroidism was excluded in 7 of these 9 dogs. In all 6 dogs with a blunted response to the higher dose, hypothyroidism could be confirmed. Healthy dogs showed significantly higher post-TSH T4 concentrations with the higher compared with the lower dose. Post-TSH T4 concentrations after TSH stimulation were not related to dogs' body weight in either healthy or diseased dogs. CONCLUSIONS AND CLINICAL RELEVANCE: TSH dose significantly influenced test interpretation in suspected hypothyroid dogs. Differentiation between primary hypothyroidism and nonthyroidal disease was improved with 150 microg rhTSH. Because this effect was independent of the dogs' body weight, the higher dose is recommended in dogs that have concurrent disease or are receiving medication.


Assuntos
Doenças do Cão/diagnóstico , Hipotireoidismo/veterinária , Testes de Função Tireóidea/veterinária , Tireotropina/administração & dosagem , Animais , Cães , Relação Dose-Resposta a Droga , Humanos , Hipotireoidismo/diagnóstico , Proteínas Recombinantes
8.
Reprod Domest Anim ; 44 Suppl 2: 211-3, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19754571

RESUMO

In our study, a clinical and reproductive examination was undertaken in 204 dogs of five different breeds. Thyroxine and thyroid-stimulating hormone plasma concentrations were assayed in order to assess the real incidence of hypothyroidism associated with reproductive disease. Among these animals, only two breeds were affected by hypothyroidism (4.5% of the Dogue de Bordeaux and 2.4% of the Leonbergers). Moreover, these animals did not suffer from any reproductive disease. Our study showed also that 70% of the male Dogue de Bordeaux were hypothyroxinemic compared with Great Danes, English Mastiff and Leonbergers whose male population was 100% normothyroidic. We found the same tendency in bitches. In our data, there was no difference in thyroxin plasma concentrations between normo- and hypofertile dogs, but our results were not statistically significant.


Assuntos
Doenças do Cão/etiologia , Hipotireoidismo/veterinária , Infertilidade/veterinária , Animais , Doenças do Cão/metabolismo , Cães , Feminino , Hipotireoidismo/complicações , Infertilidade/complicações , Masculino , Gravidez , Testes de Função Tireóidea/veterinária , Glândula Tireoide/fisiologia , Tireotropina/sangue , Tiroxina/sangue
9.
J Vet Intern Med ; 23(1): 7-15, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19138380

RESUMO

BACKGROUND: Anesthesia and surgery affect thyroid function tests in humans but have not been studied in dogs. HYPOTHESIS: Anesthesia and anesthesia with surgery will affect thyroid function tests in dogs. ANIMALS: Fifteen euthyroid dogs. METHODS: Prospective, controlled, interventional study. Dogs were assigned to one of 3 groups: control, general anesthesia, and general anesthesia plus abdominal exploratory surgery. Dogs in the anesthesia and surgery groups were premedicated with acepromazine and morphine, induced with propofol, and maintained on isoflurane. Samples for measurement of serum thyroxine (T4), free T4 (fT4) by equilibrium dialysis, triiodothyronine (T3), reverse T3 (rT3), and thyroid-stimulating hormone concentrations were collected from each dog immediately before premedication, at multiple times during anesthesia, surgery, 4, 8, 12, 24, 36, and 48 hours after anesthesia, once daily for an additional 5 days, and once 14 days after anesthesia. Sampling was performed at identical times in the control group. RESULTS: Serum T4 decreased significantly from baseline in the surgery and anesthesia groups compared with the control group at 0.33 (P= 0.043) and 1 hour (P= 0.018), and 2 (P= 0.031) and 4 hours (P= 0.037), respectively, then increased significantly in the surgery group compared with the control group at 24 hours (P= 0.005). Serum T3 decreased significantly from baseline in the anesthesia group compared with the control group at 1 hour (P= 0.034). Serum rT3 increased significantly from baseline in the surgery group compared with the control and anesthesia groups at 8 (P= 0.026) and 24 hours (P= 0.0001) and anesthesia group at 8, 12, 24, and 36 hours (P= 0.004, P= 0.016, P= 0.004, and P= 0.014, respectively). Serum fT4 increased significantly from baseline in the surgery group compared to the control at 24 hours (P= 0.006) and at day 7 (P= 0.037) and anesthesia group at 48 hours (P= 0.023). CONCLUSIONS AND CLINICAL IMPORTANCE: Surgery and anesthesia have a significant effect on thyroid function tests in dogs.


Assuntos
Anestesia Geral/veterinária , Doenças do Cão/induzido quimicamente , Isoflurano/farmacologia , Procedimentos Cirúrgicos Operatórios/veterinária , Doenças da Glândula Tireoide/veterinária , Testes de Função Tireóidea/veterinária , Anestésicos Inalatórios/farmacologia , Animais , Cães , Feminino , Masculino , Doenças da Glândula Tireoide/induzido quimicamente , Tireotropina/sangue , Tiroxina/sangue , Fatores de Tempo , Tri-Iodotironina/sangue
10.
J Feline Med Surg ; 11(8): 717-9, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19560384

RESUMO

A 5-year-old spayed female cat was evaluated for hyperthyroidism based on an elevated free thyroxine (T(4)) measurement and bilaterally enlarged symmetric subcutaneous masses in the area of the thyroid glands. Physical examination revealed bilateral subcutaneous masses on either side of the cervical trachea. Blood was obtained for serum biochemical profile and thyroid function analysis. Mild hyperalbuminemia, mild hypercalcemia, and mildly increased alanine aminotransferase activity were identified. Serum concentrations of total and free thyroxine were within the reference interval. Cytologic analysis of fine-needle aspirates from one of the masses was suspicious for neoplasia. Nuclear scintigraphy revealed no abnormalities. Surgically obtained excisional biopsies of both masses were submitted for histopathology and diagnosed as bilateral dermoid cysts. After excisional biopsy, the patient recovered without incident. The histopathologic diagnosis of completely excised bilateral dermoid cysts indicated that no further medical or surgical intervention was required. This is the first report of a cat presenting with bilateral dermoid cysts in the area of the thyroid glands. Histopathologic examination was necessary to make a definitive diagnosis. Practitioners should include cysts in their list of differential diagnoses for ventral neck masses in cats.


Assuntos
Doenças do Gato/diagnóstico , Cisto Dermoide/veterinária , Glândula Tireoide/patologia , Neoplasias da Glândula Tireoide/veterinária , Animais , Doenças do Gato/sangue , Doenças do Gato/cirurgia , Gatos , Cisto Dermoide/diagnóstico , Cisto Dermoide/cirurgia , Feminino , Testes de Função Tireóidea/veterinária , Neoplasias da Glândula Tireoide/diagnóstico , Neoplasias da Glândula Tireoide/cirurgia , Resultado do Tratamento
11.
J Vet Intern Med ; 22(5): 1144-8, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18681922

RESUMO

BACKGROUND: Thyroid hormone concentrations were found to be different in Greyhounds and Whippets compared with nonsight hound dogs. HYPOTHESIS: In Sloughis, thyroid hormone concentration is lower than in nonsight hounds and comparable to Greyhounds. ANIMALS: Fifty-one Sloughis with no evidence of disease and a mean age of 4 years (range, 1-12 years). METHODS: Thyroid profiles consisting of total thyroxine (tT4), free thyroxine (fT4), free thyroxine after equilibrium dialysis (fT4 after ED), canine thyroid stimulation hormone (cTSH), and thyroglobulin antibodies as well as CBC and serum biochemistry results of Sloughis were compared with those of normal dogs. In 8 Sloughis, TSH stimulation tests were performed. RESULTS: In Sloughis, tT4 concentrations and fT4 concentrations measured by chemiluminescence were lower than those of controls (1.13+/-0.65 microg/dL compared with 2.9+/-0.8 microg/dL, P< .0001 and 11+/-4.3 pmol/L compared with 16.7+/-5.2 pmol/L, P< .0001, respectively). Concentrations of fT4 after ED and TSH were increased in Sloughis, when compared with controls (41.3+/-26.9 pmol/L compared with 20.98+/-10.29 pmol/L, P< .0001 and 0.22 +/- 0.15 pmol/L compared with 0.15+/-0.13 pmol/L, P= .0138, respectively). T4 concentration after TSH stimulation increased from 1.5 microg/dL (range, 0.2-2.7 microg/dL) to 2.7 microg/dL (range, 1.2-4.7 microg/dL); the recommended post-TSH T4 concentration was achieved by only 3 of 8 Sloughis. Hemoconcentration was found in 84.3% and hypoglobulinemia in 80.3%. CONCLUSIONS AND CLINICAL IMPORTANCE: When evaluating Sloughis for hypothyroidism, veterinarians should be aware that these dogs have different thyroid hormone concentrations than nonsight hound dogs.


Assuntos
Doenças do Cão/diagnóstico , Hipotireoidismo/veterinária , Testes de Função Tireóidea/veterinária , Animais , Cães , Feminino , Hipotireoidismo/diagnóstico , Masculino
12.
Aust Vet J ; 86(11): 429-34, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18959530

RESUMO

OBJECTIVE: To determine the thyroid status of Basenji dogs in Australia. METHODS: Jugular or cephalic venipuncture blood samples were taken from 113 Basenji, comprising 47 males, 5 castrates, 48 entire and 13 spayed bitches, and sent on ice in plain and EDTA tubes to a single laboratory to determine haematocrit and serum concentrations of total thyroid hormone (thyroxine, TT4), thyroid-stimulating hormone (TSH) and cholesterol. In a subgroup of 8 dogs with abnormal elevated TSH concentrations and subnormal TT4 concentrations, 5 were further examined by dynamic endocrine testing using recombinant human (rh) TSH (54 microg). RESULTS: Ages ranged from 1 to 14 years and weight range was 6.5 to 14.0 kg. TT4 concentrations (nmol/L) ranged from 2 to 27, with a median of 13 and a mean +/- SD of 13.0 +/- 5.7. Importantly, 85/113 (75%) of TT4 values were lower than the normal laboratory reference range (17-37). TSH concentrations (ng/mL) ranged from 0.05 to 5.37, with a median of 0.16 and a mean +/- SD of 0.3 +/- 0.6. CONCLUSIONS: Basenji have a similar reference range for serum TSH, but a considerably lower reference range for TT4 (2-27 nmol/L) than most breeds and crossbreds, resembling the sight hounds in this respect. Given the difficulty of accurately measuring TT4 concentrations that are so low, concomitant serial TSH determinations are essential to properly asses thyroid function. Taken alone, TT4 determinations are only of use when the value is within the reference range, in which case a diagnosis of hypothyroidism is likely excluded.


Assuntos
Cães/sangue , Glândula Tireoide/fisiologia , Tireotropina/sangue , Tiroxina/sangue , Animais , Austrália , Feminino , Masculino , Linhagem , Valores de Referência , Testes de Função Tireóidea/métodos , Testes de Função Tireóidea/veterinária
13.
Vet Clin North Am Exot Anim Pract ; 11(1): 15-23, v, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18165135

RESUMO

There has been a considerable amount of research regarding the function of the avian thyroid gland, particularly in chickens. There is also more information on diseases of the avian thyroid gland, although it is usually in the form of case reports. This article covers a limited amount of material on the structure and function of the avian thyroid gland and its diseases.


Assuntos
Doenças das Aves/sangue , Doenças da Glândula Tireoide/veterinária , Glândula Tireoide/fisiologia , Animais , Doenças das Aves/imunologia , Doenças das Aves/patologia , Aves , Galinhas , Feminino , Bócio/veterinária , Masculino , Doenças da Glândula Tireoide/sangue , Doenças da Glândula Tireoide/imunologia , Doenças da Glândula Tireoide/patologia , Testes de Função Tireóidea/veterinária , Glândula Tireoide/anatomia & histologia , Glândula Tireoide/embriologia , Hormônios Tireóideos/sangue
14.
J Feline Med Surg ; 20(4): 319-324, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-28494633

RESUMO

Objectives The Catalyst One Chemistry Analyzer (IDEXX Laboratories) is a point-of-care instrument that can measure total thyroxine (TT4) by immunoassay. The aims of this study were to evaluate the analytic performance of the Catalyst TT4 assay in feline sera and to examine agreement of the Catalyst TT4 results with those measured by immunoassay at a veterinary reference laboratory. Methods Assay precision, reproducibility and linearity were evaluated for the Catalyst TT4 assay. For method comparison, TT4 concentrations in serum samples from 157 cats (127 hyperthyroid, 30 radioiodine-treated cats) were analyzed by both in-clinic and reference laboratory methods. Results The Catalyst TT4 demonstrated good precision and reproducibility (coefficients of variation ⩽8.5%) and excellent linearity in the diagnostic range of 6-150 nmol/l. Differences between the two TT4 methods showed no proportional or fixed bias (Bland-Altman plots) but did demonstrate greater spread of values at higher TT4 concentrations. Statistical analysis of percent differences between methods indicated 95% limits of agreement of ± 30%. When serum TT4 concentrations were classified as low, high or within the reference interval (12-50 nmol/l) for each assay, there was strong agreement (96.8%) in classification between methods. Conclusions and relevance The Catalyst TT4 assay provided precise serum TT4 concentrations in the 157 samples analyzed, which agreed well with results provided by a reference laboratory. Cats with Catalyst TT4 concentrations near decision thresholds (eg, normal vs high) should either have TT4 concentration repeated a few weeks later and/or undergo further testing (eg, free T4, serum thyroid-stimulating hormone, thyroid scintigraphy) to determine thyroid status.


Assuntos
Doenças do Gato/sangue , Hipertireoidismo/veterinária , Técnicas Imunoenzimáticas/veterinária , Testes de Função Tireóidea/veterinária , Animais , Gatos , Feminino , Hipertireoidismo/sangue , Sistemas Automatizados de Assistência Junto ao Leito , Valores de Referência , Reprodutibilidade dos Testes , Tireotropina/sangue , Tiroxina/sangue
15.
J Feline Med Surg ; 20(12): 1130-1137, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-29432704

RESUMO

OBJECTIVES: This study sought to explore the clinicopathological features and comorbidities of cats with mild, moderate and severe hyperthyroidism in a radioiodine referral population. METHODS: Medical records were reviewed, along with results of serum biochemistry, urinalysis, systolic blood pressure and diagnostic imaging performed at the time of radioiodine referral. Cats were grouped by total thyroxine (TT4) levels as mildly (TT4 60.1-124.9 nmol/l), moderately (TT4 125-250 nmol/l) or severely (TT4 >250 nmol/l) hyperthyroid at the time of diagnosis and referral. RESULTS: Thirty percent (42/140) of the cats were <10 years old at diagnosis. In 24.3% (34/140), hyperthyroidism was diagnosed incidentally. The time between diagnosis and referral for radioiodine was significantly longer in cats with severe hyperthyroidism at the time of referral ( P = 0.004). An increase in severity group between the time of diagnosis and referral occurred in 38.6% (54/140) of cats. At referral, 54.3% (25/46) of cats with mild, 66.7% (42/63) with moderate and 80.6% (25/31) with severe hyperthyroidism were unstable despite ongoing medical or dietary management. The prevalence of cardiac abnormalities was significantly increased in cats with severe hyperthyroidism ( P = 0.014) compared with those with mild or moderate hyperthyroidism. There was no significant difference in the likelihood of renal disease ( P = 0.708) or hypertension ( P = 0.328) between the groups. CONCLUSIONS AND RELEVANCE: Incidental diagnosis of hyperthyroidism occurs commonly, potentially owing to increased disease screening. Cats with severe hyperthyroidism at referral were more likely to be chronically hyperthyroid with a history of poor stabilisation. This subset of patients was significantly more likely to have cardiac abnormalities. Thyrotoxic cardiomyopathy may ultimately affect patient suitability for curative treatments (radioiodine or thyroidectomy) owing to higher anaesthetic risks and potential for decompensation into congestive heart failure with the stress of travel and hospitalisation. Curative therapy should be considered before the development of severe hyperthyroidism.


Assuntos
Doenças do Gato/diagnóstico , Hipertireoidismo/veterinária , Testes de Função Tireóidea/veterinária , Animais , Doenças do Gato/sangue , Gatos , Comorbidade , Feminino , Hipertireoidismo/diagnóstico , Radioisótopos do Iodo/uso terapêutico , Masculino , Prevalência , Tireoidectomia/veterinária , Tiroxina/sangue
16.
Vet Clin North Am Small Anim Pract ; 37(4): 647-69, v, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17619004

RESUMO

Hypothyroidism is the most common endocrinopathy in the dog. Rather than being a comprehensive review of all possible thyroid function tests, the focus in this article is on the logical progression of test choice, highlighting total thyroxine, free thyroxine, triiodothyronine, thyrotropin (TSH), and antithyroid antibodies. This article includes extensive discussion of the current status of the canine TSH assay and the potential for improving this assay.


Assuntos
Doenças do Cão/diagnóstico , Hipotireoidismo/veterinária , Testes de Função Tireóidea/veterinária , Animais , Autoanticorpos/sangue , Doenças do Cão/sangue , Doenças do Cão/fisiopatologia , Cães , Hipotireoidismo/diagnóstico , Hormônios Tireóideos/sangue
17.
Vet Clin North Am Small Anim Pract ; 37(4): 671-91, vi, 2007 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-17619005

RESUMO

Hyperthyroidism remains a common endocrine disorder of cats. Although relatively easy to diagnose in classically presenting cats, the increased frequency of testing cats with early or mild disease has had significant implications for the diagnostic performance of many of the routine tests currently used. Further advances in the etiopathogenesis and earlier diagnosis are only likely with the advent of a species specific feline thyroid-stimulating hormone assay.


Assuntos
Doenças do Gato/diagnóstico , Hipertireoidismo/veterinária , Testes de Função Tireóidea/veterinária , Animais , Doenças do Gato/sangue , Doenças do Gato/fisiopatologia , Gatos , Hipertireoidismo/diagnóstico , Cintilografia , Glândula Tireoide/diagnóstico por imagem , Hormônios Tireóideos/sangue
18.
Can Vet J ; 48(12): 1273-9, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18189051

RESUMO

Recombinant human thyroid-stimulating hormone (rhTSH) was evaluated for the diagnosis of canine hypothyroidism, using TSH response tests. Phase I stimulation tests were performed in 6 healthy dogs weighing over 20 kg, using 50 and then 100 microg of freshly reconstituted rhTSH administered intravenously. In phase II, the same dogs were stimulated by using 100 microg of rhTSH frozen for 3 months at -20 degrees C. Phase III stimulation tests were performed by using 50 or 100 microg of freshly reconstituted or frozen rhTSH in healthy (n = 14), euthyroid sick (n = 11) and hypothyroid dogs (n = 9). A dose of 100 microg of rhTSH was judged more appropriate for dogs weighing more than 20 kg. Biological activity of rhTSH after freezing at -20 degrees C for up to 12 weeks was maintained. When stimulated, significant (P < 0.05) increases in total thyroxine concentration were observed only in healthy and euthyroid sick dogs. Results of this study show that the rhTSH stimulation test is able to differentiate euthyroidism from hypothyroidism in dogs.


Assuntos
Doenças do Cão/diagnóstico , Hipotireoidismo/veterinária , Proteínas Recombinantes/farmacologia , Testes de Função Tireóidea/veterinária , Tireotropina/farmacologia , Animais , Diagnóstico Diferencial , Cães , Feminino , Humanos , Hipotireoidismo/diagnóstico , Masculino , Sensibilidade e Especificidade , Testes de Função Tireóidea/métodos , Testes de Função Tireóidea/normas , Tiroxina/sangue
19.
J Vet Diagn Invest ; 29(3): 278-286, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28355954

RESUMO

Measurement of total thyroxine (T4) is the first testing step in the work-up of thyroid disease in small animals. We evaluated an enzyme-linked fluorescent assay (ELFA) as an in-house method to measure T4 in cats and dogs. We compared the T4 concentration in sera of 122 cats and 176 dogs measured by the ELFA with an enzyme immunoassay (EIA) to assess the concordance of the 2 methods. Bias of the ELFA in cats was -11.4% and in dogs 1.4%. Using Bland-Altman plots, limits of agreement were -81.5 to 58.7% in cats and -71.4 to 74.4% in dogs. Imprecision was calculated for both methods. Intra- and interassay coefficients of variation (CVs) of the ELFA in feline sera were 0.7 and 3.4% and of the EIA 7.6 and 15.7%, respectively. Intra- and interassay CVs of both ELFA and EIA in canine sera were <9.5%. Reference intervals for the ELFA method were established and were 13.3-49.5 nmol/L for cats and 10.1-42.9 nmol/L for dogs. Accuracy of the EIA and ELFA was scored by assessing if the measured T4 value would identify the expected T4 range (low, normal, or elevated) of patients, based on history, clinical presentation, other diagnostic means, and response to therapy. This was possible for 75 cats and 50 dogs. Both methods yielded acceptable results, but the EIA was more accurate compared to the ELFA (percentage of true-positives in cats and dogs: EIA: 97% and 100%; ELFA: 92% and 94%).


Assuntos
Doenças do Gato/diagnóstico , Doenças do Cão/diagnóstico , Doenças da Glândula Tireoide/veterinária , Tiroxina/sangue , Animais , Doenças do Gato/sangue , Gatos , Doenças do Cão/sangue , Cães , Técnicas Imunoenzimáticas/veterinária , Valor Preditivo dos Testes , Valores de Referência , Doenças da Glândula Tireoide/diagnóstico , Testes de Função Tireóidea/veterinária
20.
Vet J ; 172(1): 135-40, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16772138

RESUMO

Numerous factors including non-thyroidal systemic diseases and drug administration can significantly alter canine thyroid function test results. Furthermore, the importance of breed specific variations has probably been underestimated. In this study, total thyroxine (TT4), free thyroxine (FT4), canine endogenous thyroid stimulating hormone (cTSH) serum concentrations and thyroglobulin autoantibodies (TgAA) were determined in a population of healthy whippets and compared to a control group of different breeds. Mean TT4 values were significantly lower in the whippets but no significant differences were seen between whippets and control dogs for FT4 and for cTSH. The prevalence of serum TgAA in the whippets was 2%, and this was not significantly different from the controls. The results suggest a breed variation for TT4, but not for FT4, cTSH and TgAA serum concentrations in whippets. Serum thyroid hormone concentrations were also compared between trained and non-trained whippets and it was concluded that regular training did not seem to have any significant influence.


Assuntos
Cruzamento , Cães/fisiologia , Condicionamento Físico Animal/fisiologia , Glândula Tireoide/fisiologia , Hormônios Tireóideos/sangue , Animais , Autoanticorpos/sangue , Cães/sangue , Cães/genética , Feminino , Masculino , Tireoglobulina/imunologia , Testes de Função Tireóidea/veterinária , Tireotropina/sangue , Tiroxina/sangue
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