Paradis Manon, Sauvé Frédéric, Charest Julie, Refsal Kent R, Moreau Maxim, Dupuis Jacques
Département de sciences cliniques, Faculté de médecine vétérinaire, Université de Montréal, C.P. 5000, Saint-Hyacinthe, Québec J2S 7C6.
Can Vet J. 2003 May;44(5):407-12.
Several nonthyroidal illnesses in euthyroid dogs can affect the results of thyroid function testing, making interpretation of the results more difficult with an increased risk of overdiagnosing hypothyroidism. The purpose of this study was to evaluate the effect of chronic, moderate to severe, osteoarthritis on canine thyroid function. Ninety-six, healthy, client-owned dogs, 65 of which were suffering from moderate to severe osteoarthritis and 31 euthyroid dogs without any physical evidence of osteoarthritis, were used in this study. Blood samples were collected to evaluate serum basal total thyroxine (TT4), free thyroxine (FT4), and thyrotropin (TSHc) concentrations. Basal serum TT4 concentration was not affected by osteoarthritis in dogs. Mild, but statistically significant, differences were noticed in FT4 and TSHc concentrations among the 2 groups. However, this had limited clinical relevance, since virtually all values were within their reference range, and no dogs would have been misdiagnosed as hypothyroid. Therefore, based on the results of our study, osteoarthritis does not need to be considered a factor influencing thyroid function evaluation in dogs.
甲状腺功能正常的犬类患有几种非甲状腺疾病时,会影响甲状腺功能测试结果,导致结果解读更加困难,误诊甲状腺功能减退的风险增加。本研究的目的是评估慢性、中度至重度骨关节炎对犬类甲状腺功能的影响。本研究使用了96只健康的、由客户拥有的犬,其中65只患有中度至重度骨关节炎,31只甲状腺功能正常且无任何骨关节炎体征的犬。采集血样以评估血清基础总甲状腺素(TT4)、游离甲状腺素(FT4)和促甲状腺素(TSHc)浓度。犬的基础血清TT4浓度不受骨关节炎影响。两组之间的FT4和TSHc浓度存在轻微但具有统计学意义的差异。然而,这在临床上的相关性有限,因为几乎所有值都在其参考范围内,没有犬会被误诊为甲状腺功能减退。因此,根据我们的研究结果,骨关节炎无需被视为影响犬类甲状腺功能评估的一个因素。