Case Report

Combined atypical primary hypoadrenocorticism and primary hypothyroidism in a dog

Authors
  • B. Vanmal
  • V. Martlé
  • D. Binst
  • P. Smets
  • S. Daminet
  • D. Paepe

Abstract

A dog with combined atypical primary hypoadrenocorticism and primary hypothyroidism is described. The dog presented with waxing and waning, vague complaints since more than a year and had been treated with several drugs without complete resolution of signs. Based on the abnormalities on physical examination, blood examination and abdominal ultrasonography, atypical primary hypoadrenocorticism and primary hypothyroidism were diagnosed. Glucocorticoid supplementation was started and gradually tapered to maintenance rate because of polydipsia. Ten days later, levothyroxine supplementation was started at a very low dose and was gradually increased based on serum total thyroxine concentrations. The dog rapidly improved and recovered completely. Follow-up over a one-year period did not reveal new abnormalities. The presence of combined primary hypoadrenocorticism and primary hypothyroidism has been infrequently described in dogs and may resemble the Schmidt’s syndrome in humans.

How to Cite:

Vanmal, B. & Martlé, V. & Binst, D. & Smets, P. & Daminet, S. & Paepe, D., (2016) “Combined atypical primary hypoadrenocorticism and primary hypothyroidism in a dog”, Vlaams Diergeneeskundig Tijdschrift 85(6), 355-364. doi: https://doi.org/10.21825/vdt.v85i6.16310

Downloads:
Download PDF
View PDF

605 Views

124 Downloads

Published on
27 Dec 2016
Peer Reviewed