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Tertiary hypothyroidism in a dog
Journal article   Open access   Peer reviewed

Tertiary hypothyroidism in a dog

Robert E Shiel, E. Acke, A. Puggioni, J. P. Cassidy and C.T. Mooney
Irish veterinary journal, Vol.60(2), 88
2007
PMCID: PMC3113834
PMID: 21851691
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Abstract

A nine-year-old male entire Labrador was diagnosed with pituitary dependent hyperadrenocorticism. Following seven months of successful mitotane therapy, the dog presented with marked weight gain, seborrhoea and alopecia. Routine clinicopathological analyses revealed marked hypercholesterolaemia. Serum total and free thyroxine (T4) concentrations were below their respective reference ranges. Serum thyroid stimulating hormone (cTSH) concentration was within reference range. TSH and thyrotropin releasing hormone (TRH) response tests revealed adequate stimulation of total T4 in both, and cTSH in the latter test. Magnetic resonance imaging revealed a mass arising from the pituitary fossa, with suprasellar extension. A diagnosis of tertiary hypothyroidism was made. Following four weeks of levothyroxine therapy, circulating cholesterol concentration had declined, weight loss had ensued and dermatological abnormalities had improved. Euthanasia was performed four months later due to the development of neurological signs. A highly infiltrative pituitary adenoma, with effacement of the overlying hypothalamus was identified on post mortem examination. Tertiary hypothyroidism has not been previously reported in dogs.

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Citation topics
1 Clinical & Life Sciences
1.213 Thyroid Disorders
1.213.168 Thyroid Disorders
Web Of Science research areas
Veterinary Sciences
ESI research areas
Plant & Animal Science
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