Center of Clinical Veterinary Medicine, Clinic of Small Animal Medicine, Ludwig Maximilian University, Munich, Germany.
PLoS One. 2021 Aug 9;16(8):e0255678. doi: 10.1371/journal.pone.0255678. eCollection 2021.
Pituitary dwarfism (PD) in German Shepherd dogs (GSD) is a rare endocrinopathy. Cause and inheritance of the disease are well characterized, but the overall survival time, presence of concurrent diseases, quality of life (QoL) and influence of different treatment options on those parameters is still not well investigated. The aim of this study was to obtain data regarding the disease pattern of GSD with PD and to investigate the impact of treatment.
47 dogs with dwarfism (presumably PD) and 94 unaffected GSD serving as controls were enrolled. Data were collected via a standardized questionnaire, which every owner of a participating dog had completed. Dogs with PD were grouped based on three categories of treatment: Group 1 (untreated), group 2 (treated with levothyroxine), group 3 (treated with thyroxine and progestogens or with growth hormone (GH)). Groups were compared using One-Way-Anova, Kruskal-Wallis test or Wilcoxon-rank-sum test. Categorical analysis was performed using Two-Sample-Chi-Squared-test.
Dogs treated with thyroxine and gestagen or GH were significantly taller and heavier compared to all other dogs with PD. Quality of life was best in dogs with PD treated with thyroxine and similar to unaffected GSD. Treatment increased survival time in dogs with PD independent of the treatment strategy. Dogs receiving thyroxine and progestogens or GH did not develop chronic kidney disease (CKD).
GSD with PD should be treated at least for their secondary hypothyroidism to increase survival time. Additional treatment with progestogens or GH improves body size and seems to protect against the occurrence of CKD.
德国牧羊犬的垂体性矮小症(PD)是一种罕见的内分泌疾病。该疾病的病因和遗传特征已得到充分阐明,但总体生存时间、是否存在并发疾病、生活质量(QoL)以及不同治疗方案对这些参数的影响仍未得到充分研究。本研究旨在获得关于 PD 德国牧羊犬疾病模式的数据,并探讨治疗的影响。
47 只患有矮小症(推测为 PD)的犬和 94 只未受影响的德国牧羊犬作为对照组被纳入研究。数据通过一份标准化问卷收集,每位参与犬的主人都填写了该问卷。根据三种治疗方案将 PD 犬分为三组:第 1 组(未治疗)、第 2 组(用左甲状腺素治疗)、第 3 组(用甲状腺素和孕激素或生长激素(GH)治疗)。使用单因素方差分析、Kruskal-Wallis 检验或 Wilcoxon 秩和检验对各组进行比较。使用二项式卡方检验对分类数据进行分析。
用甲状腺素和孕激素或 GH 治疗的犬比所有其他 PD 犬明显更高更重。用甲状腺素治疗的 PD 犬的生活质量最好,与未受影响的德国牧羊犬相似。治疗可提高 PD 犬的生存时间,与治疗策略无关。接受甲状腺素和孕激素或 GH 治疗的犬未发生慢性肾病(CKD)。
至少应治疗 PD 德国牧羊犬的继发性甲状腺功能减退症以提高其生存时间。额外用孕激素或 GH 治疗可改善体型,并似乎可预防 CKD 的发生。