Abstract
Hypoadrenocorticism is an important endocrinopathy, although it is considered rare in dogs. This paper reports the case of a young female dog with signs of vomiting, diarrhea, dehydration and anorexia at the Luciana Guidolin veterinary clinic in Caxias do Sul, Rio Grande do Sul. The complementary exams showed polycythemia, reticulocytosis, leukocytosis, neutrophilia, monocytosis, eosinophilia, azotemia, hyperkalemia and hyponatremia. Ultrasound showed a decreased size of the adrenal glands. The diagnosis of hypoadrenocorticism was confirmed by the ACTH stimulation test. Acute treatment was performed with 0.9% saline fluid therapy, glucocorticoid replacement, management of hyperkalemia, hypoglycemia, and supportive care. For maintenance treatment, fludrocortisone acetate and prednisolone were prescribed. After control, the patient was discharged and remained stable.
Highlights
Hypoadrenocorticism is an important endocrinopathy, it is considered rare in dogs
This paper reports the case of a young female dog with signs of vomiting, diarrhea, dehydration and anorexia at the Luciana Guidolin veterinary clinic in Caxias do Sul, Rio Grande do Sul
Licenciamento: Este artigo é publicado na modalidade Acesso Aberto sob a licença Creative Commons Atribuição 4.0 (CC-BY 4.0), a qual permite uso irrestrito, distribuição, reprodução em qualquer meio, desde que o autor e a fonte sejam devidamente creditados
Summary
Bruna Bertin Fenner , Kimberli de Oliveira Duarte , Leandro Gois de Almeida , Érika Andrade, Luciana Lígia Guidolin. O Hipoadrenocorticismo é uma endocrinopatia de grande importância na clínica médica, embora seja considerada de ocorrência rara em cães. O presente trabalho relata o caso de uma cadela jovem com sinais de vômito, diarreia, desidratação e anorexia na clínica veterinária Luciana Guidolin, em Caxias do Sul, Rio Grande do Sul. Os exames complementares apresentaram policitemia, reticulocitose, leucocitose por neutrofilia, monocitose, eosinofilia, azotemia, hipercalemia e hiponatremia. O diagnóstico de hipoadrenocorticismo foi confirmado com a realização do teste de estímulo com ACTH. O tratamento agudo foi realizado com fluidoterapia com solução salina a 0,9%, reposição de glicocorticoide, manejo da hipercalemia, hipoglicemia e cuidados de suporte. Para o tratamento de manutenção foi prescrito acetato de fludrocortisona associado a prednisolona. A paciente teve alta e manteve-se estável
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