Nesbitt G H, Izzo J, Peterson L, Wilkins R J
J Am Vet Med Assoc. 1980 Dec 1;177(11):1117-22.
Hypothyroidism, defined as a serum concentration of less than 70 ng of triiodothyronine (T3)/dl or less than 1.5 microgram of thyroxine (T4)/dl, or both, was diagnosed in 108 dogs by means of radioimmunoassay techniques. Both T3 and T4 values were determined in 96 dogs. Both values were low in approximately 50% (47/96) of the hypothyroid dogs; 25% (24/96) were T3 hypothyroid (low T3, normal T4), and 26% (25/96) were T4 hypothyroid (normal T3, low T4). The T3 values varied markedly between animals. Common clinical signs were alopecia, changes in coat (dryness, dullness, dandruff, scales, coarseness, and slow regrowth of hair), hyperpigmentation, and pyoderma. Doberman Pinschers, Great Danes, Poodles, Schnauzers, Irish Setters, and Boxers accounted for 50% (54/108) of the hypothyroid dogs. Therapy consisted of T4, T3, or combination T3 and T4 replacement. A good clinical response was observed with T4 replacement in 40.4% (19/47) within 2 months and in 21.3% (10/47) within 5 months. A poor clinical response was observed in 25.5% (12/47) after 6 months of therapy. Posttherapeutic evaluation was based on peak serum concentrations of T3 and T4, pretreatment (basal) thyroid hormone values, type of replacement therapy, dosage and time of sampling after treatment, concurrent clinical problems, and, most important, clinical response to thyroid replacement therapy.
甲状腺功能减退症定义为血清三碘甲状腺原氨酸(T3)浓度低于70 ng/dl或甲状腺素(T4)浓度低于1.5 μg/dl,或两者均低,通过放射免疫测定技术在108只犬中诊断出该疾病。对96只犬测定了T3和T4值。在约50%(47/96)的甲状腺功能减退犬中,T3和T4值均低;25%(24/96)为T3型甲状腺功能减退(T3低,T4正常),26%(25/96)为T4型甲状腺功能减退(T3正常,T4低)。动物之间的T3值差异显著。常见临床症状为脱毛、被毛变化(干燥、无光泽、头皮屑、鳞片、粗糙及毛发生长缓慢)、色素沉着过度和脓皮病。杜宾犬、大丹犬、贵宾犬、雪纳瑞犬、爱尔兰赛特犬和拳师犬占甲状腺功能减退犬的50%(54/108)。治疗包括使用T4、T3或T3与T4联合替代治疗。2个月内,40.4%(19/47)接受T4替代治疗的犬临床反应良好,5个月内为21.3%(10/47)。治疗6个月后,25.5%(12/47)的犬临床反应不佳。治疗后评估基于T3和T4的血清峰值浓度、治疗前(基础)甲状腺激素值、替代治疗类型、治疗后给药剂量和采样时间、并发临床问题,最重要的是甲状腺替代治疗的临床反应。