Canine hypoadrenocorticism: part II.
Dogs with chronic, vague gastrointestinal signs and those with signs and laboratory abnormalities suggestive of an Addisonian crisis should be tested for hypoadrenocorticism. A previous article (Part I; Can Vet J 2009;50:63-69) discussed the etiology, pathophysiology, clinical signs, and diagnostic abnormalities found in these patients. The present article discusses definitive diagnosis and treatment for both the acute and the chronic Addisonian patient. Expedient treatment remains the cornerstone of management for these patients, particularly those in the former category. The long-term prognosis is excellent for these patients, given well-educated, committed, and vigilant owners.
Klein
Susan C
SC
scklein@hotmail.com
Peterson
Mark E
ME
D000224:Addison Disease / Q000097:blood / Q000401:mortality / Q000662:veterinary; D000303:Adrenal Cortex Diseases / Q000175:diagnosis / Q000662:veterinary*; D000309:Adrenal Insufficiency / Q000175:diagnosis / Q000662:veterinary*; D000324:Adrenocorticotropic Hormone / Q000494:pharmacology; D000818:Animals; D003937:Diagnosis, Differential; D004283:Dog Diseases / Q000175:diagnosis*; D004285:Dogs; D001841:Human-Animal Bond; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D011379:Prognosis; D012016:Reference Values; D012769:Shock / Q000401:mortality / Q000662:veterinary
D000324:Adrenocorticotropic Hormone; D006854:Hydrocortisone