Kantrowitz L B, Peterson M E, Melián C, Nichols R
Oradell Animal Hospital, NJ 07649, USA.
J Am Vet Med Assoc. 2001 Sep 15;219(6):765-9. doi: 10.2460/javma.2001.219.765.
To determine whether nonthyroidal disease of various causes and severity is associated with abnormalities in baseline serum concentrations of total thyroxine (T4), triiodothyronine (T3), free T4, or thyrotropin (thyroid-stimulating hormone [TSH]) in dogs believed to be euthyroid.
Case-control study.
223 dogs with confirmed nonthyroidal diseases and presumptive normal thyroid function, and 150 clinically normal dogs.
Serum total T4, total T3, free T4, and TSH concentrations were measured in dogs with confirmed nonthyroidal disease. Reference ranges for hormone concentrations were established on the basis of results from 150 clinically normal dogs.
In dogs with nonthyroidal disease, median serum concentrations of total T4, total T3, and free T4 were significantly lower than those in clinically normal dogs. Median serum TSH concentration in sick dogs was significantly greater than that of clinically normal dogs. When stratified by severity of disease (ie, mild, moderate, and severe), dogs with severe disease had low serum concentrations of total T4, total T3, or free T4 more commonly than did dogs with mild disease. In contrast, serum TSH concentrations were more likely to remain within the reference range regardless of severity of disease.
Results indicate that serum total T4, free T4, and total T3 concentrations may be low (ie, in the hypothyroid range) in dogs with moderate to severe nonthyroidal disease. Serum TSH concentrations are more likely to remain within the reference range in sick dogs.
确定各种病因和严重程度的非甲状腺疾病是否与被认为甲状腺功能正常的犬只的基础血清总甲状腺素(T4)、三碘甲状腺原氨酸(T3)、游离T4或促甲状腺激素(甲状腺刺激激素[TSH])浓度异常有关。
病例对照研究。
223只确诊患有非甲状腺疾病且甲状腺功能推测正常的犬,以及150只临床正常的犬。
对确诊患有非甲状腺疾病的犬测量血清总T4、总T3、游离T4和TSH浓度。根据150只临床正常犬的结果确定激素浓度的参考范围。
患有非甲状腺疾病的犬,血清总T4、总T3和游离T4的中位数浓度显著低于临床正常犬。患病犬的血清TSH浓度中位数显著高于临床正常犬。按疾病严重程度(即轻度、中度和重度)分层时,患有严重疾病的犬比患有轻度疾病的犬更常见血清总T4、总T3或游离T4浓度低的情况。相比之下,无论疾病严重程度如何,血清TSH浓度更有可能保持在参考范围内。
结果表明,患有中度至重度非甲状腺疾病的犬血清总T4、游离T4和总T3浓度可能较低(即处于甲状腺功能减退范围内)。患病犬的血清TSH浓度更有可能保持在参考范围内。