Hypoadrenocorticism in dogs - the Mad Hatter of veterinary internal medicine

Hypoadrenocorticism arises from insufficient adrenal gland function and is also known as Addison’s disease, a rarely occurring disease (0.1%) in dogs. Due to its oscillatory course and overall nonspecific symptoms, it is a diagnostic challenge for clinicians, and is often misdiagnosed or unattended...

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Permalink: http://skupni.nsk.hr/Record/nsk.NSK01001084154/Details
Matična publikacija: Veterinarska stanica (Online)
51 (2020), 3 ; str. 281-292
Glavni autori: Palić, Magdalena (Author), Brkljačić, Mirna, Kiš, Ivana, veterinarka, Crnogaj, Martina, Kučer, Nada, Torti, Marin, Šmit, Iva, Kajin, Filip, Matijatko, Vesna
Vrsta građe: e-članak
Jezik: eng
Predmet:
Online pristup: https://doi.org/10.46419/vs.51.3.5
Hrčak
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024 7 |2 doi  |a 10.46419/vs.51.3.5 
035 |a (HR-ZaNSK)001084154 
040 |a HR-ZaNSK  |b hrv  |c HR-ZaNSK  |e ppiak 
041 0 |a eng  |b hrv  |b eng 
042 |a croatica 
044 |a ci  |c hr 
080 1 |a 636.09  |2 2011 
100 1 |a Palić, Magdalena  |4 aut 
245 1 0 |a Hypoadrenocorticism in dogs - the Mad Hatter of veterinary internal medicine  |h [Elektronička građa] /  |c Magdalena Palić, Mirna Brkljačić, Ivana Kiš, Martina Crnogaj, Nada Kučer, Marin Torti, Iva Šmit, Filip Kajin, Vesna Matijatko. 
300 |b Ilustr., graf. prikazi. 
504 |a Bibliografija: 30 jed. 
504 |a Summary ; Sažetak. 
520 |a Hypoadrenocorticism arises from insufficient adrenal gland function and is also known as Addison’s disease, a rarely occurring disease (0.1%) in dogs. Due to its oscillatory course and overall nonspecific symptoms, it is a diagnostic challenge for clinicians, and is often misdiagnosed or unattended among other differentials. There are two forms of hypoadrenocorticism: primary and secondary. The aim of this study was to analyse the data of dogs suffering from Addison’s disease, treated at the Clinic for Internal Medicine, Faculty of Veterinary Medicine, University of Zagreb, Croatia and to compare them with data from similar institutions worldwide. The archive of Clinic for Internal Medicine, Faculty of Veterinary Medicine, Zagreb, Croatia was searched to investigate and statistically analyse signalment, clinical and laboratory data, and the duration of symptoms, treatment protocols and outcome of canine hypoadrenocorticism. The study group included 14 dogs (36% male and 64% female) diagnosed with hypoadrenocorticism. All dogs had a history of gastrointestinal symptoms, i.e. vomiting in 100%, diarrhoea in 64% and melena in 7%. Hypovolemic shock was noted in 57%, hypothermia in 64% and bradycardia in 29% of cases. The most frequently observed laboratory abnormalities were an increase in BUN (86%), creatinine (57%) and potassium concentration (79%), and a decrease in sodium (71%), Na/K ratio (86%), cholesterol (21%) and glucose concentration (21%). Duration of symptoms (till ACTH stimulation test performance) was broad, from 2 – 2190 days (median 90±1195.5 days). The outcome was favourable in 100% cases after initiation of adequate treatment. 
520 |a Pod pojmom hipoadrenokorticizam podrazumijevamo smanjenu funkciju nadbubrežne žlijezde, a sama bolest je poznata i pod nazivom Addisonova bolest. Hipoadrenorticizam je bolest koja se u pasa rijetko javlja s učestalošću od oko 0,1 %. Zbog kombinacije nespecifičnih simptoma i njihova osciliranja predstavlja dijagnostički izazov te se smatra bolešću čija se u veterinarskoj medicini dijagnoza najčešće previdi. Postoji primarni i sekundarni oblik bolesti. Cilj je ovog istraživanja bio detaljno analizirati podatke pasa s Addisonovom bolešću zaprimljenih u Kliniku za unutarnje bolesti Veterinarskog fakulteta Sveučilišta u Zagrebu te ih usporediti s podatcima iz sličnih institucija u svijetu. Detaljno su pretraženi podatci arhive klinike, a analizirani su i statistički obrađeni klinički i laboratorijski parametri, vrijeme trajanja simptoma te terapijski protokoli i ishod u pasa s hipoadrenokorticizmom. Istraživanu skupinu činilo je 14 pasa s hipoadrenokorticizmom od kojih 36 % mužjaka i 64 % ženki. U svih pasa zabilježeni su recidivirajući simptomi od strane probavnog sustava, od kojih se u 100 % slučajeva javljalo povraćanje, u 64 % proljev, a u 7 % melena. Klinički je u 57 % pasa uočen hipovolemični šok, u 64 % pasa hipotermija, a u 29 % bradikardija. Od laboratorijskih pretraga najčešća odstupanja bila su povećanje koncentracije ureje (86 %), kreatinina (57 %), hiperkalemija (79 %), hiponatremija (71 %), smanjeni Na/K omjer (86 %), hipoholesterolemija (21 %) te hipoglikemija (21 %). Trajanje simptoma do provedbe ACTH-stimulacijskog testa iznosilo je 2 - 2190 dana (prosječno 90±1195 dana), a nakon uvođenja adekvatne terapije ishod je u svih pasa bio povoljan. 
653 0 |a Psi  |a Addisonova bolest  |a Nadbubrežna žlijezda  |a Hipoadrenokorticizam  |a Mineralokortikoidi  |a Glukokortikoidi 
700 1 |a Brkljačić, Mirna  |4 aut 
700 1 |a Kiš, Ivana,  |c veterinarka  |4 aut 
700 1 |a Crnogaj, Martina  |4 aut 
700 1 |a Kučer, Nada  |4 aut 
700 1 |a Torti, Marin  |4 aut 
700 1 |a Šmit, Iva  |4 aut 
700 1 |a Kajin, Filip  |4 aut 
700 1 |a Matijatko, Vesna  |4 aut 
773 0 |t Veterinarska stanica (Online)  |x 1849-1170  |g 51 (2020), 3 ; str. 281-292  |w nsk.(HR-ZaNSK)000855872 
981 |b Be2020  |b B01/20 
998 |b dalo2101 
856 4 0 |u https://doi.org/10.46419/vs.51.3.5 
856 4 0 |u https://hrcak.srce.hr/237807  |y Hrčak 
856 4 1 |y Digitalna.nsk.hr