Chiaramonte Deirdre, Greco Deborah S
The Animal Medical Center, New York, New York, USA.
Clin Tech Small Anim Pract. 2007 Feb;22(1):26-31. doi: 10.1053/j.ctsap.2007.02.004.
Although only recently discovered, feline adrenal disorders are becoming increasingly more recognized. Feline adrenal disorders include diseases such as hyperadrenocorticism (Cushing's syndrome) and hyperaldosteronism (Conn's syndrome). The clinical signs of feline hyperadrenocorticism, which include unregulated diabetes mellitus and severe skin atrophy, are unique to the cat. Other signs of feline hyperadrenocorticism, such as potbellied appearance, polydipsia, polyuria, and susceptibility to infections are also seen in dogs with hyperadrenocorticism. Conn's syndrome has only recently been described in the cat and is in fact more common in cats than in dogs. Characterized by severe hypokalemia, hypertension, and muscle weakness, Conn's syndrome may be misdiagnosed as renal failure. The clinician should become familiar with the clinical signs of adrenal disorders in cats and the common diagnostic tests used to diagnose these syndromes in cats as they differ from those in the dog. Treatment of feline adrenal disorders may be challenging; the clinician should become familiar with common drugs used to treat adrenal disorders in cats.
尽管猫肾上腺疾病直到最近才被发现,但现在越来越受到认可。猫肾上腺疾病包括诸如肾上腺皮质功能亢进(库欣综合征)和醛固酮增多症(康恩综合征)等疾病。猫肾上腺皮质功能亢进的临床症状,包括不受控制的糖尿病和严重的皮肤萎缩,是猫所特有的。猫肾上腺皮质功能亢进的其他症状,如大腹便便的外观、多饮、多尿和易感染,在患有肾上腺皮质功能亢进的犬中也可见到。康恩综合征最近才在猫身上被描述,实际上在猫中比在犬中更常见。其特征为严重低钾血症、高血压和肌肉无力,康恩综合征可能被误诊为肾衰竭。临床医生应熟悉猫肾上腺疾病的临床症状以及用于诊断猫这些综合征的常见诊断测试,因为它们与犬的不同。猫肾上腺疾病的治疗可能具有挑战性;临床医生应熟悉用于治疗猫肾上腺疾病的常用药物。