Dixon R M, Reid S W, Mooney C T
Department of Veterinary Clinical Studies, Glasgow University Veterinary School.
Vet Rec. 1999 Oct 23;145(17):481-7. doi: 10.1136/vr.145.17.481.
Hypothyroidism was diagnosed in 50 dogs and excluded in 86 dogs suspected of hypothyroidism, on the basis of the results of bovine thyrotropin response tests. Breed, pedigree, sex or neutering status did not significantly influence the likelihood of the dogs being hypothyroid. The hypothyroid dogs were significantly older than the non-hypothyroid dogs referred to the University of Glasgow during the same period. However, when dogs under two years of age were excluded from the statistical analyses there was no significant difference in age between the two groups. The most common clinical characteristics associated with hypothyroidism were metabolic signs (84 per cent of cases), particularly lethargy (76 per cent), obesity or weight gain (44 per cent), and exercise intolerance (24 per cent); and dermatological abnormalities (80 per cent), including alopecia (56 per cent), poor coat quality (30 per cent) and hyperpigmentation (20 per cent). When compared with the laboratory reference limits the most common biochemical and haematological abnormalities were increased concentrations of triglycerides (88 per cent), cholesterol (78 per cent), glucose (49 per cent), and fructosamine (43 per cent), and increased activities of creatine kinase (35 per cent), and decreased concentrations of inorganic phosphate (63 per cent), and a low red blood cell count (40 per cent). When compared with reference limits derived from the euthyroid dogs the most common abnormalities were increased concentrations of gamma-glutamyltransferase (21 per cent), cholesterol (18 per cent), and aspartate aminotransferase (15 per cent) and a decreased red blood cell count (29 per cent), and decreased neutrophils (18 per cent) and decreased activity of creatine kinase (15 per cent). Assessment of cholesterol, creatine kinase, aspartate aminotransferase, gamma-glutamyltransferase, and red blood cell and neutrophil counts may be particularly useful in distinguishing hypothyroid dogs from euthyroid animals with similar clinical signs.
根据牛促甲状腺素反应试验结果,50只犬被诊断为甲状腺功能减退,86只疑似甲状腺功能减退的犬被排除。品种、血统、性别或绝育状态对犬患甲状腺功能减退的可能性没有显著影响。同一时期转诊至格拉斯哥大学的甲状腺功能减退犬比非甲状腺功能减退犬明显年龄更大。然而,当将两岁以下的犬排除在统计分析之外时,两组之间的年龄没有显著差异。与甲状腺功能减退相关的最常见临床特征是代谢体征(84%的病例),尤其是嗜睡(76%)、肥胖或体重增加(44%)以及运动不耐受(24%);还有皮肤异常(80%),包括脱毛(56%)、被毛质量差(30%)和色素沉着过度(20%)。与实验室参考范围相比,最常见的生化和血液学异常是甘油三酯(88%)、胆固醇(78%)、葡萄糖(49%)和果糖胺(43%)浓度升高,肌酸激酶活性升高(35%),无机磷酸盐浓度降低(63%)以及红细胞计数低(40%)。与甲状腺功能正常犬得出的参考范围相比,最常见的异常是γ-谷氨酰转移酶(21%)、胆固醇(18%)和天冬氨酸转氨酶(15%)浓度升高,红细胞计数降低(29%),中性粒细胞减少(18%)以及肌酸激酶活性降低(15%)。评估胆固醇、肌酸激酶、天冬氨酸转氨酶、γ-谷氨酰转移酶以及红细胞和中性粒细胞计数对于区分甲状腺功能减退犬与具有相似临床症状的甲状腺功能正常动物可能特别有用。