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不同品种犬临床甲状腺功能减退症的发病率、并发症及治疗评估

Incidence, complications and therapeutic evaluation of clinical hypothyroidism in different breeds of dogs.

作者信息

Elgalfy Gehad E, Ghanem Mohamed M, Helal Mahmoud A Y, El-Khaiat Heba M

机构信息

Animal Medicine Department, Faculty of Veterinary Medicine, Benha University, Po Box: 13736, Moshtohor, Toukh, Egypt.

出版信息

BMC Vet Res. 2025 May 9;21(1):332. doi: 10.1186/s12917-025-04746-4.

DOI:10.1186/s12917-025-04746-4
PMID:40346543
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12063298/
Abstract

BACKGROUND

Hypothyroidism is one of the most common endocrine disorders in dogs, that is caused by reduction in thyroxine hormone production.

OBJECTIVES

This study aimed to detect the incidence of clinical hypothyroidism among cases suffering from dermatological changes or obesity, investigate the complications in severely affected hypothyroid dogs and evaluate the response to levothyroxine treatment.

METHOD

Total number of 212 dogs of different ages, breeds and of both sexes were included in this study, where 200 dogs were suffering from alopecia or obesity, the other 12 healthy dogs were used as control group.

RESULTS

After ruling out other causes of alopecia and obesity, hypothyroidism was diagnosed in 28 dogs (14%) depending on the result of thyroid function test. Results of this study showed that the highest incidence of hypothyroidism was reported in Golden retriever (21.42%) followed by Griffon dogs (17.85%). Additionally, hypothyroidism was mostly reported in middle-aged dogs (60.71%) of different breeds. Males (57.14%) revealed higher incidence than females. The hypothyroid dogs showed a wide range of clinical signs including dermatological, metabolic, psychological alterations in addition to cardiovascular, respiratory, neuromuscular, gastrointestinal and gynecological abnormalities. Radiography revealed pulmonary edema in dogs affected with heart problems (N = 2), dilated esophagus in hypothyroid dogs showing vomiting (N = 2). Echocardiographic examination of hypothyroid dogs with heart problems revealed first grade diastolic dysfunction. Treatment with levothyroxine induced clinical improvement within one month of administration.

CONCLUSION

Hypothyroidism is a relatively common condition in dogs compared to other diseases causing dermatological changes or obesity in dogs. Therefore, it must be considered for early diagnosis and treatment before encountering complications that could be life threatening for dogs.

摘要

背景

甲状腺功能减退是犬类最常见的内分泌疾病之一,由甲状腺素分泌减少引起。

目的

本研究旨在检测患有皮肤病变或肥胖症的犬只中临床甲状腺功能减退的发生率,调查严重甲状腺功能减退犬只的并发症,并评估左甲状腺素治疗的反应。

方法

本研究纳入了212只不同年龄、品种和性别的犬只,其中200只患有脱毛或肥胖症,另外12只健康犬作为对照组。

结果

排除其他脱毛和肥胖原因后,根据甲状腺功能测试结果,28只犬(14%)被诊断为甲状腺功能减退。本研究结果显示,金毛寻回犬甲状腺功能减退的发生率最高(21.42%),其次是格里芬犬(17.85%)。此外,不同品种的中年犬(60.71%)甲状腺功能减退的报告率最高。雄性犬(57.14%)的发生率高于雌性犬。甲状腺功能减退的犬只表现出广泛的临床症状,包括皮肤、代谢、心理改变,以及心血管、呼吸、神经肌肉、胃肠道和妇科异常。放射检查显示,患有心脏问题的犬只出现肺水肿(N = 2),甲状腺功能减退且有呕吐症状的犬只出现食管扩张(N = 2)。对患有心脏问题的甲状腺功能减退犬只进行超声心动图检查,发现一级舒张功能障碍。左甲状腺素治疗在给药后1个月内使临床症状得到改善。

结论

与导致犬类皮肤病变或肥胖的其他疾病相比,甲状腺功能减退在犬类中是一种相对常见的病症。因此,在出现可能危及犬只生命的并发症之前,必须考虑早期诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33f4/12063298/49c8110e970e/12917_2025_4746_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33f4/12063298/860ebe544968/12917_2025_4746_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33f4/12063298/1bf83e4851b1/12917_2025_4746_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33f4/12063298/49c8110e970e/12917_2025_4746_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33f4/12063298/860ebe544968/12917_2025_4746_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33f4/12063298/1bf83e4851b1/12917_2025_4746_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33f4/12063298/49c8110e970e/12917_2025_4746_Fig3_HTML.jpg

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本文引用的文献

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Retrospective Evaluation of Gastrointestinal Signs in Hypothyroid Dogs.甲状腺功能减退犬胃肠道体征的回顾性评估
Animals (Basel). 2023 Aug 19;13(16):2668. doi: 10.3390/ani13162668.
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Influence of medications on thyroid function in dogs: An update.药物对犬甲状腺功能的影响:最新进展。
J Vet Intern Med. 2023 Sep-Oct;37(5):1626-1640. doi: 10.1111/jvim.16823. Epub 2023 Jul 27.
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Prolactin Relationship with Fertility and In Vitro Fertilization Outcomes-A Review of the Literature.催乳素与生育力及体外受精结局的关系——文献综述
Pharmaceuticals (Basel). 2023 Jan 13;16(1):122. doi: 10.3390/ph16010122.
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Thyroid Hormone Plays an Important Role in Cardiac Function: From Bench to Bedside.甲状腺激素在心脏功能中发挥重要作用:从实验台到病床边
Front Physiol. 2021 Oct 18;12:606931. doi: 10.3389/fphys.2021.606931. eCollection 2021.
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Cardiogenic Pulmonary Edema in a Dog Following Initiation of Therapy for Concurrent Hypoadrenocorticism and Hypothyroidism.一只患有并发肾上腺皮质功能减退症和甲状腺功能减退症的犬在开始治疗后发生的心源性肺水肿。
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