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Hypothyroidism

Hypothyroidism

Også kjent som: Canine hypothyroidism, Thyroid hormone deficiency

VeterinærgodkjentCatDogHaster: LowHvor vanlig: Common

Kort fortalt

Hypothyroidism is a common endocrine disorder in dogs caused by an underactive thyroid gland. It slows down metabolism, leading to weight gain, lethargy, and skin issues, but is highly manageable with daily thyroid hormone replacement therapy.

A tired Golden Retriever with a dull coat sitting calmly.
Hypothyroidism often causes subtle signs like lethargy and a dull coat, which can easily be mistaken for normal aging.

TL;DR. Vanlig, godt behandlingsbar hormonmangel; daglig medisin gjenoppretter energi og pels.

Slapphet og matt pels forveksles lett med aldring.

Hva er det?

Thyroid underproduces T4/T3; metabolism slows. Mostly dogs (lymphocytic thyroiditis or idiopathic atrophy). Rare in cats; often iatrogenic after hyperthyroid treatment.

Årsaker og risikofaktorer

Primary gland damage common. Middle-aged dogs (often 2-6 y); genetic breeds may present earlier.

Tegn å se etter

  • Lethargy, weight gain, endocrine alopecia (common)
  • Dull coat; pyoderma; hypercholesterolemia (common)
  • Bradycardia; myxedema (occasional)

A dog's tail with significant hair loss and dry skin.
Rottehale-alopeci er et klassisk hudtegn.

Hvordan veterinærer diagnostiserer

TT4, free T4 by equilibrium dialysis, endogenous TSH, TGAA. Rule out euthyroid sick syndrome.

A close-up of a veterinary computer screen displaying a canine thyroid panel report.
Fullt skjoldbruskkjertelpanel bekrefter diagnosen.

Behandling

Lifelong Levothyroxine. Energy often improves in 1-2 weeks; coat over weeks to months. Retest T4 about 4-6 h post-pill.

Prognose

Excellent with correct dosing. Daily lifelong therapy required.

Forebygging

No primary prevention. Breeders: TGAA/thyroid panel. Interpret sighthound/Nordic T4 ranges carefully.

Når ringe veterinær

Check unexplained weight gain, chronic skin disease, persistent lethargy. Emergency myxedema coma: stupor, collapse, hypothermia, dyspnea.

Kilder

  • Veterinary Internal Medicine, pp. 774, 775, 779, 786, 788.

My highlights & notes

Tegn og symptomer

Raser med høyere risiko

Hvordan det diagnostiseres

  • Baseline serum free T4 (fT4) concentration by equilibrium dialysis
  • Baseline serum total T4 (TT4) concentration
  • Complete Blood Count (CBC)
  • Endogenous thyroid-stimulating hormone (TSH) assay
  • Serum Biochemistry Panel
  • Thyroglobulin autoantibody (TGAA) assay

Behandlingsmetoder

Behandling må foreskrives av autorisert veterinær. Spesifikke doser vises bevisst ikke.

Vanlige spørsmål

What is Hypothyroidism?

Hypothyroidism is a common endocrine disorder in dogs caused by an underactive thyroid gland. It slows down metabolism, leading to weight gain, lethargy, and skin issues, but is highly manageable with daily thyroid hormone replacement therapy.

What are the symptoms of Hypothyroidism?

Dull, dry haircoat、Endocrine alopecia、Hypercholesterolemia、Lethargy、Nonregenerative anemia、Pyoderma、Weight gain、Tiring easily during activity

How is Hypothyroidism diagnosed?

Baseline serum free T4 (fT4) concentration by equilibrium dialysis、Baseline serum total T4 (TT4) concentration、Complete Blood Count (CBC)、Endogenous thyroid-stimulating hormone (TSH) assay、Serum Biochemistry Panel、Thyroglobulin autoantibody (TGAA) assay

How is Hypothyroidism treated?

Behandling må foreskrives av autorisert veterinær. Spesifikke doser vises bevisst ikke.

Kilder

  1. Internal Medicine 5th · p. 774
  2. Internal Medicine 5th · p. 788
  3. Internal Medicine 5th · p. 775
  4. Internal Medicine 5th · p. 779
  5. Internal Medicine 5th · p. 786

Artikkelen er generell opplæring og erstatter ikke veterinærråd. Hvis dyret er sykt, kontakt veterinær.

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