Greco Deborah S
Nestle Purina Petcare, One Checkerboard Square, St. Louis, MO 63164, USA.
Clin Tech Small Anim Pract. 2007 Feb;22(1):32-5. doi: 10.1053/j.ctsap.2007.02.005.
The diagnosis and treatment of hypoadrenocorticism can be one of the greatest challenges faced by veterinary practitioners, as Addison's disease may have many faces and many presentations. Although the disease is most often diagnosed in dogs, cats may also suffer from Addison's disease. The practitioner must have a high index of suspicion to make a diagnosis of hypoadrenocorticism. This index of suspicion is based on knowledge of the common signalment, history, physical examination, and laboratory findings. Diagnosis of hypoadrenocorticism is supported by appropriate choice of diagnostic endocrine tests that are described in detail in this article. Once a diagnosis of hypoadrenocorticism has been made, expedient treatment is of foremost concern. Timely treatment using fluids, corticosteroids, and supportive care will ensure a successful outcome; the emergency treatment of Addison's is covered briefly in this article and fully in another article in this issue. The purpose of this review was to describe the clinical diagnosis and chronic treatment of hypoadrenocorticism in dogs and cats.
肾上腺皮质功能减退症的诊断和治疗可能是兽医从业者面临的最大挑战之一，因为艾迪生病可能有多种表现形式。虽然该病最常发生于犬，但猫也可能患艾迪生病。从业者必须保持高度的怀疑指数才能诊断肾上腺皮质功能减退症。这种怀疑指数基于对常见征候、病史、体格检查和实验室检查结果的了解。本文详细描述的适当诊断性内分泌检查有助于支持肾上腺皮质功能减退症的诊断。一旦确诊肾上腺皮质功能减退症，及时治疗是首要关注点。使用液体、皮质类固醇和支持性护理进行及时治疗将确保取得成功的结果；本文简要介绍了艾迪生病的紧急治疗方法，本期另一篇文章将进行全面介绍。本综述的目的是描述犬猫肾上腺皮质功能减退症的临床诊断和长期治疗。
