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Peer-reviewed veterinary case report

Hyperadrenocorticism in dogs linked to sex, neutering, and other

By Hoffman, J M et al.·Published in The Journal of small animal practice·2018·Department of Genetics, United States·View original on PubMed

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Original publication title: Canine hyperadrenocorticism associations with signalment, selected comorbidities and mortality within North American veterinary teaching hospitals.

Species:
dog

Plain-English summary

A study looked at over 1,500 dogs diagnosed with hyperadrenocorticism (Cushing's disease) and found that this condition was more common in female dogs, especially those that were neutered. Many of these dogs also had other health issues like diabetes, urinary tract infections, and gall bladder problems. While hyperadrenocorticism was a factor in the deaths of about 26% of the affected dogs, it was not the main cause of death for most. This information can help veterinarians better understand and manage the health of dogs with this condition.

People also search for: dog Cushing's disease symptoms · female dog hyperadrenocorticism treatment · diabetes in dogs with Cushing's disease

Abstract

OBJECTIVE: To describe a large population of dogs with a diagnosis of hyperadrenocorticism at the time of death in North American veterinary teaching hospitals, and to identify comorbid conditions associated with hyperadrenocorticism. MATERIALS AND METHODS: Retrospective cohort study of 1519 dogs with hyperadrenocorticism from a population of 70,574 dogs reported to the Veterinary Medical Database. Signalment, presence or absence of hyperadrenocorticism, aetiology of hyperadrenocorticism (if described), frequency of select comorbidities and causes of death were evaluated in dogs with and without hyperadrenocorticism. RESULTS: Hyperadrenocorticism was more frequent in females. Neutering was associated with a minor, but significant, increase in the odds of hyperadrenocorticism. Hyperadrenocorticism was the presumed cause of death of 393 (25∙9%) of affected dogs. When aetiology was specified (527 dogs, corresponding to 34∙7% of the cases), pituitary-dependent hyperadrenocorticism [387 (73∙4%) out of 527 dogs] was more common than functional adrenocortical tumour [136 (25∙8%) out of 527 dogs). Hyperadrenocorticism was over-represented in certain expected (miniature poodle, dachshund) and unexpected (Irish setter, bassett hound) breeds compared with the population at large. Of the select comorbidities investigated, dogs with hyperadrenocorticism were at increased risk for concurrent diabetes mellitus, urinary tract infection, urolithiasis, hypertension, gall bladder mucocoele and thromboembolic disease compared with dogs without hyperadrenocorticism. CLINICAL SIGNIFICANCE: Hyperadrenocorticism is significantly associated with certain comorbid conditions but is not a major cause of mortality in affected dogs. Documented patterns now provide targets for prospective clinical research.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30039567/