Showing posts with label Hypercalcemia. Show all posts
Showing posts with label Hypercalcemia. Show all posts

Friday, January 27, 2012

Animal Endocrine Clinic March 18 Seminar

We are pleased to announce our second Animal Endocrine Clinic Seminar:

Animal Endocrinology:
Perils and Pitfalls in the Diagnosis and Treatment of Endocrine Diseases 

This seminar will take place on March 18th in Westchester County, NY. AEC Seminars are free and are open to veterinarians and veterinary technicians. The March 18th seminar will deal with several of the most common canine and feline endocrine disorders.

Dr. Mark E. Peterson and Dr. Rhett Nichols will discuss Hyper- and Hypothyroidism, Thyroid and Parathyroid Tumors, Primary Hyperparathyroidism, Idiopathic Hypercalcemia, Diabetes mellitus, Cushing's syndrome, and Hyperaldosteronism.

Further details and the registration form are available here.




Thursday, November 11, 2010

An Overview of Endocrine Disease in Dogs and Cats

Either “Too Much” or “Not Enough” of a Hormone

Endocrine diseases stem from imbalances in hormone levels. Hormone imbalances can affect your pet’s health in many ways.  Although some endocrine disorders are not life threatening, many are fatal if not diagnosed and treated.

Diseases can develop because an endocrine gland itself is faulty or because the control of that gland is faulty (i.e., a problem in the pituitary can harm the adrenal glands).  Endocrine diseases develop when the body produces too much hormone (hyper- diseases) or too little hormone (hypo- diseases).

A tumor or other abnormal tissue in an endocrine gland often causes it to produce too much hormone. Hormone excess disorders often begin with the prefix “hyper.” For example, in hyperthyroidism, the thyroid gland produces too much thyroid hormone.

Hormone excess (“Hyper”) disorders in dogs and cats
  • Pituitary tumors (most commonly, secrete too much growth hormone or ACTH)
  • Hyperthyroidism (secrete too much thyroid hormone)
  • Hypercalcemia (circulating calcium too high)
  • Hyperparathyroidism (secrete too much parathyroid hormone)
  • Pancreatic insulin-secreting tumor, usually called insulinoma (secrete too much insulin)
  • Hyperadrenocorticism, usually called Cushing’s syndrome (secrete too much cortisol)
  • Hyperaldosteronism, usually called Conn’s syndrome (secrete too much aldosterone)
  • Pheochromocytoma (secrete too much adrenaline)
  • Hypertension (blood pressure too high)
When an endocrine gland is destroyed, removed, or just stops working, not enough hormone is produced. Hormone deficiency disorders often begin with the prefix “hypo.” For example, in hypothyroidism, the thyroid gland does not produce enough thyroid hormone.

Hormone deficiency (“Hypo”) disorders in dogs and cats

  • Pituitary dwarfism (secrete too little growth hormone in young animals)
  • Diabetes insipidus (secrete too little antidiuretic hormone or vasspressin)
  • Hypothyroidism (secrete too little thyroid hormone)
  • Hypocalcemia (circulating calcium too low)
  • Hypoparathyroidism (secrete too little parathyroid hormone)
  • Diabetes mellitus (secrete too little insulin)
  • Hypoadrenocorticism, usually called Addison’s disease (too little cortisol and aldosterone secreted)
  • Hypotension (blood pressure too low)
Treating Endocrine Disease Again, Based on Either “Too Much” or “Not Enough” of a Hormone

Endocrine diseases caused by too much of a hormone can be treated surgically (tumor removal), with radiotherapy (such as the use of radioactive iodine to destroy an overactive thyroid gland), or with medications used to block the tumor from over-secreting the hormone.

One can normally treat hormone deficiency syndromes simply by supplementing the missing hormone.  For example, one can treat diabetes mellitus by giving insulin injections. Steroid and thyroid hormone replacements can usually be given orally.  Dogs and cats taking hormone replacement therapy must be monitored for side effects and periodically retested to make sure the drug dosage is correct. In some cases, such as after an endocrine tumor is surgically removed, the remaining gland will recover and hormone replacement will no longer be needed.
Unfortunately, most of these treatments are life-long.

Thursday, November 4, 2010

Overview of the Normal Endocrine System in Dogs and Cats

The endocrine system is the system of glands, each of which secretes a type of hormone into the bloodstream to regulate the body. While powerful, the endocrine organs are relatively small.

Most people find endocrinology very confusing. In order to illuminate the details of the endocrine system, we will be doing a series of blog posts explaining the basics. We have also set up a glossary of definitions of endocrine terms for your reference.

Hormones are chemical messengers that have many different functions. In the bloodstream, the hormones travel throughout the body. Their effects vary widely, and all are important for life. Some familiar examples of hormones include insulin, thyroid hormone, and cortisol. These hormones are important in the development of diabetes, hypo- and hyperthyroidism, and Cushing’s disease, respectively.


Human endocrine glands are essentially identical to dog and cat endocrine glands, both in structure and function. The endocrine glands include the pituitary gland, thyroid gland, parathyroid glands, pancreas, adrenal glands, ovaries, and testes.

Pituitary Gland

The pituitary gland is located near the center and bottom of the brain. It produces a number of critical hormones that control many parts of the body, including several other endocrine glands. Because of its central role, the pituitary gland is often referred to as the “master gland.”

Clinically, the most important of these hormones include growth hormone (GH), adrenocorticotropin (ACTH), thyroid-stimulating hormone (TSH), and antidiuretic hormone (ADH). Because the pituitary gland produces so many hormones, pituitary disease, most commonly pituitary tumors, may result in a variety of different conditions. The signs and symptoms of the disease depend on which pituitary hormones are affected.

Thyroid Gland

The thyroid gland is a two-lobed gland in the neck, located in front of the breathing airway (trachea) and below the Adam's apple. It produces two iodine-containing hormones, thyroxine (also called T4) and triiodothyronine (T3). In general, the thyroid hormones regulate metabolic rate, or the speed at which body processes “run.”

Thyroid disorders result from too little or too much T3 or T4. Symptoms of hypothyroidism (too little hormone) include decreased energy, lethargy, weight gain, dry skin, and hair loss. In young animals, hypothyroidism most commonly leads to stunted growth and dwarfism.

Hyperthyroidism (too much hormone) is common in cats. Common clinical signs include weight loss despite an increased appetite, nervousness, excitability, vomiting after eating, and increased thirst and urination.

Parathyroid Glands

The parathyroid glands are four small glands located adjacent or within the thyroid gland. These glands secrete parathyroid hormone (PTH). PTH helps maintain normal calcium and phosphorous levels in the body and is necessary for proper bone development.

If the parathyroids are removed during a thyroid operation, the blood PTH will fall (hypoparathyroidism). The blood calcium will then become dangerously low (hypocalcemia), causing neuromuscular signs of muscle spasms or twitches, tetany, or seizures.

A tumor of one of the parathyroid glands may cause the secretion or release too much PTH (hyperparathyroidism). The blood calcium will then become too high (hypercalcemia), causing increased thirst and urination, muscle weakness, and fatigue.

Endocrine Pancreas

The pancreas is an oblong, flattened gland located in the abdomen, adjacent to the stomach and small intestine. While it secretes digestive juices to aid in digestion, its endocrine function is to maintain healthy glucose (blood sugar) levels. If blood sugar is too high, such as after a meal, the pancreas secretes insulin. Insulin moves the sugar from the blood into the cells of the body, where it is used for energy. If blood sugar is too low, the pancreas releases glucagon. Glucagon releases sugar, stored in the liver as glycogen, back into the bloodstream.

Diabetes, an imbalance of blood sugar levels, is the major disorder of the pancreas. Diabetes occurs when the pancreas does not produce enough insulin or the body is resistant to the insulin in the blood. Without enough insulin to keep glucose moving through the metabolic process, the blood glucose level rises too high. Most dogs and cats with diabetes require insulin shots to do well, although some can be managed by a combination of diet or oral drugs.

A condition called hyperinsulinism is caused by too much insulin and leads to hypoglycemia (low blood sugar). This is most commonly seen when owners inadvertently overdose their diabetic dogs or cats with insulin. Less commonly, an insulinoma (insulin-secreting pancreatic tumor) will cause hypoglycemia. Symptoms of low blood sugar include anxiety, weakness, and seizures.

Adrenal Glands

The two adrenal glands are located on the top of each kidney. The adrenal glands essentially contain two separate endocrine organs. The outer portion or core of the adrenal gland is called the adrenal cortex. The inner portion of the gland is called the adrenal medulla. The hormones of the adrenal cortex are essential for life and the hormones of the adrenal medulla are not.

The adrenal cortex produces glucocorticoids (e.g., cortisol) that help the body control blood sugar, increase the burning of protein and fat, and respond to stressful stimuli, such as fever, major illness, and injury. The mineralocorticoids (e.g., aldosterone) control blood volume and help to regulate blood pressure by helping the kidneys hold on to sodium and water. Cushing’s syndrome (too much cortisol) and Addison’s disease (too little cortisol) are the two most common adrenal cortex disorders. Symptoms of Cushing’s syndrome generally include an increase in thirst and urination, enlarged abdomen, and hair loss on the trunk. Symptoms of Addison’s disease include poor appetite, weight loss, weakness, and vomiting.

The adrenal medulla produces epinephrine (adrenaline), which increases heart rate, opens airways to improve oxygen intake, and increases blood flow to muscles. The adrenal medulla usually secretes epinephrine when one is scared, excited, or under stress. The adrenal medulla also secretes norepinephrine, but this hormone is more related to maintaining normal activities as opposed to emergency reactions. Tumors of the adrenal medulla (called pheochromocytoma) may produce increased thirst and urination, increased heart rate, and restlessness.

Testes

As in humans, unneutered male dogs and cats have twin reproductive glands, called testes, which produce the hormone testosterone. Testosterone helps the young male develop and then maintain his sexual traits.

Ovaries

The female reproductive glands, the ovaries, produce estrogen and progesterone. These hormones are responsible for developing and maintaining female sexual traits, as well as maintaining a pregnancy. Along with certain pituitary hormones (i.e., luteinizing hormone [LH] and follicle-stimulating hormone [FSH]), they control the estrus cycle (a sort of “menstrual cycle” for animals, although animals do not menstruate).