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犬甲状腺功能减退症:病因与诊断综述

Canine hypothyroidism: a review of aetiology and diagnosis.

作者信息

Mooney C T

机构信息

Veterinary Clinical Studies Unit, School of Agriculture, Food Science & Veterinary Medicine, University College Dublin, Ireland.

出版信息

N Z Vet J. 2011 May;59(3):105-14. doi: 10.1080/00480169.2011.563729.

Abstract

Hypothyroidism is recognised as an important endocrine disorder of dogs, and a frequent differential for numerous presenting complaints. Its diagnosis has never been straight forward as results suggestive of hypothyroidism can occur for a variety of reasons in dogs with normal thyroid function (euthyroid). As a consequence, the accurate investigation of hypothyroidism has been hindered by the potential inclusion of a number of cases not truly hypothyroid. In recent years, the development of newer diagnostic tests, e.g. free thyroxine, canine thyroid stimulating hormone, thyroglobulin autoantibodies, has significantly improved our ability to reliably differentiate hypothyroidism from other clinically similar disorders. This has led to a marked increase in our knowledge of the phenotypic, genotypic and aetiological aspects of this disorder in dogs.

摘要

甲状腺功能减退被认为是犬类一种重要的内分泌疾病,也是众多就诊主诉的常见鉴别诊断对象。其诊断向来并非易事,因为甲状腺功能正常(甲状腺功能正常)的犬只因各种原因也可能出现提示甲状腺功能减退的结果。因此,由于可能纳入了一些并非真正甲状腺功能减退的病例,甲状腺功能减退的准确诊断受到了阻碍。近年来,新型诊断测试的发展,如游离甲状腺素、犬促甲状腺激素、甲状腺球蛋白自身抗体,显著提高了我们可靠区分甲状腺功能减退与其他临床相似疾病的能力。这使我们对犬类这种疾病的表型、基因型和病因方面的认识有了显著增加。

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