Atypical Cushing's Syndrome in Dogs: Arguments For and Against

被引:21
作者
Behrend, Ellen N. [1 ]
Kennis, Robert [1 ]
机构
[1] Auburn Univ, Coll Vet Med, Dept Clin Sci, Auburn, AL 36849 USA
关键词
Hyperadrenocorticism; Sex hormones; Cushing's syndrome; Adrenal gland; Alopecia X; ARREST ALOPECIA-X; ADRENOCORTICOTROPIC HORMONE; CANINE HYPERADRENOCORTICISM; DEXAMETHASONE SUPPRESSION; ADRENAL-FUNCTION; SCREENING-TESTS; GROWTH-HORMONE; CANDIDATE GENE; SEX-HORMONES; DIAGNOSIS;
D O I
10.1016/j.cvsm.2009.11.002
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
In the past 5 to 10 years, much interest has arisen in the syndrome of occult hyperadrenocorticism. Patients with occult hyperadrenocorticism purportedly have many clinical signs and routine laboratory abnormalities suggestive of the presence of typical hyperadrenocorticism, or Cushing's syndrome (ie, hypercortisolism either due to a pituitary or adrenal tumor). However, the standard diagnostic tests-corticotropin (ACTH) stimulation and low-dose dexamethasone suppression tests-are normal. A theory has arisen that the clinical signs of occult hyperadrenocorticism are due to excess adrenal secretion of sex hormones rather than cortisol. The authors believe that the role of sex hormones has not been proven. The article reviews the evidence both for and against the importance of sex hormones in creating occult hyperadrenocorticism.
引用
收藏
页码:285 / +
页数:13
相关论文
共 43 条
[1]  
Ashley PF, 1999, J AM VET MED ASSOC, V215, P1111
[2]   Serum 17-α-hydroxyprogesterone and corticosterone concentrations in dogs with nonadrenal neoplasia and dogs with suspected hyperadrenocorticism [J].
Behrend, EN ;
Kemppainen, RJ ;
Boozer, AL ;
Whitley, EM ;
Smith, AN ;
Busch, KA .
JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION, 2005, 227 (11) :1762-1767
[3]   Diagnosis of canine hyperadrenocorticism [J].
Behrend, EN ;
Kemppainen, RJ .
VETERINARY CLINICS OF NORTH AMERICA-SMALL ANIMAL PRACTICE, 2001, 31 (05) :985-+
[4]   Evaluation of serum 17-hydroxyprogesterone concentration after administration of ACTH in dogs with hyperadrenocorticism [J].
Benitah, NM ;
Feldman, EC ;
Kass, PH ;
Nelson, RW .
JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION, 2005, 227 (07) :1095-1101
[5]   Evaluation of hormonal function in a series of incidentally discovered adrenal masses [J].
Bondanelli, M ;
Campo, M ;
Trasforini, G ;
Ambrosio, MR ;
Zatelli, MC ;
Franceschetti, P ;
Valentini, A ;
Pansini, R ;
Uberti, ECD .
METABOLISM-CLINICAL AND EXPERIMENTAL, 1997, 46 (01) :107-113
[6]   Treatment of canine Alopecia X with trilostane [J].
Cerundolo, R ;
Lloyd, DH ;
Persechino, A ;
Evans, H ;
Cauvin, A .
VETERINARY DERMATOLOGY, 2004, 15 (05) :285-293
[7]  
Chapman PS, 2003, VET REC, V153, P771
[8]  
CHASTAIN CB, 1986, J AM ANIM HOSP ASSOC, V22, P435
[9]   Effects of delmadinone acetate on pituitary-adrenal function, glucose tolerance and growth hormone in male dogs [J].
Court, EA ;
Watson, ADJ ;
Church, DB ;
Emslie, DR .
AUSTRALIAN VETERINARY JOURNAL, 1998, 76 (08) :555-560
[10]  
DUNSTAN RW, 2009, 24 P N AM VET DERM F, P3