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2023年美国动物医院协会犬猫内分泌疾病精选指南

2023 AAHA Selected Endocrinopathies of Dogs and Cats Guidelines.

作者信息

Bugbee Andrew, Rucinsky Renee, Cazabon Sarah, Kvitko-White Heather, Lathan Patty, Nichelason Amy, Rudolph Liza

机构信息

Department of Small Animal Medicine and Surgery, University of Georgia, Athens, Georgia (A.B.); Mid Atlantic Cat Hospital, Mid Atlantic Feline Thyroid Center, Queenstown, Maryland (R.R.); Boston Veterinary Clinic, Boston, Massachusetts (S.C.); KW Veterinary Consulting, LLC, Kansas City, Missouri (H.K.-W.); Mississippi State University, Mississippi State, Mississippi (P.L.); School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin (A.N.); Rowan College of South Jersey, Sewell, New Jersey (L.R.).

出版信息

J Am Anim Hosp Assoc. 2023 May 1;59(3):113-135. doi: 10.5326/JAAHA-MS-7368.

DOI:10.5326/JAAHA-MS-7368
PMID:37167252
Abstract

Canine and feline endocrinopathies reflect an endocrine gland disease or dysfunction with resulting hormonal abnormali ties that can variably affect the patient's wellbeing, quality of life, and life expectancy. These guidelines provide consensus recommendations for diagnosis and treatment of four canine and feline endocrinopathies commonly encountered in clini cal practice: canine hypothyroidism, canine hypercortisolism (Cushing's syndrome), canine hypoadrenocorticism (Addi son's disease), and feline hyperthyroidism. To aid the general practitioner in navigating these common diseases, a stepwise diagnosis and treatment algorithm and relevant background information is provided for managing each of these diseases. The guidelines also describe, in lesser detail, the diagnosis and treatment of three relatively less common endo crinopathies of cats: feline hyperaldosteronism, feline hypothyroidism, and feline hyperadrenocorticism. Additionally, the guidelines present tips on effective veterinary team utilization and client communication when discussing endocrine cases.

摘要

犬猫内分泌病反映了内分泌腺疾病或功能障碍,导致激素异常,可不同程度地影响病畜的健康、生活质量和预期寿命。本指南为临床实践中常见的四种犬猫内分泌病的诊断和治疗提供了共识性建议:犬甲状腺功能减退、犬皮质醇增多症(库欣综合征)、犬肾上腺皮质功能减退(艾迪生病)和猫甲状腺功能亢进。为帮助全科医生应对这些常见疾病,针对每种疾病的管理提供了逐步诊断和治疗算法以及相关背景信息。本指南还较简要地描述了猫的三种相对不太常见的内分泌病的诊断和治疗:猫醛固酮增多症、猫甲状腺功能减退和猫皮质醇增多症。此外,本指南还介绍了在讨论内分泌病例时有效利用兽医团队和与客户沟通的技巧。

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