Canine Health Emergency Endocrine / Chronic Disease

Dog Cushing's Disease (Hyperadrenocorticism): Síntomas, Testing & Trilostane Treatment

Published: 2026-05-31 · Updated: July 2026

Quick Tomar

Cushing's disease (hyperadrenocorticism) es caused por chronic overproduction de cortisol — el body's stress hormone. El classic case es un middle-aged a senior dog quién drinks y urinates excessively, tiene developed un pot-bellied appearance, y es losing hair symmetrically....

Behavior Profile

Behavior TipoEndocrine / Chronic Disease
Común TriggersPituitary adenoma (85% de cases — microadenoma producing excess ACTH), adrenal tumor (15% — unilateral, puede ser malignant), iatrogenic (largo-term steroid usar), middle-aged a senior dogs, pequeño breed predisposition (Poodles, Dachshunds, Terriers)
Associated EmotionsDiagnostic frustration, Largo-term management, Financial commitment

Cushing's disease (hyperadrenocorticism) es caused por chronic overproduction de cortisol — el body's stress hormone. El classic case es un middle-aged a senior dog quién drinks y urinates excessively, tiene developed un pot-bellied appearance, y es losing hair symmetrically. Cushing's es one de el la mayoría challenging endocrine diagnoses en veterinary medicine — no single probar es definitive, falso positives son común con non-adrenal illness, y treatment requires lifelong monitoring.

Classic Signs (PU/PD/PP/Potbelly)

  • Increased drinking (polydipsia) y urination (polyuria) — a menudo el primero sign noticed
  • Increased appetite (polyphagia) — puede become food-obsessed, counter-surfing, begging
  • Pot-bellied abdomen (muscle wasting de abdominal wall + enlarged liver + fat redistribution)
  • Bilateral symmetric hair loss (truncal alopecia — spares el head y legs)
  • Thin, fragile skin, easy bruising, slow wound healing, calcinosis cutis (calcium deposits en skin — pathognomonic cuando present)
  • Excesivo panting, muscle weakness, lethargy, recurrent urinary tract infections

Diagnostic Testing

No probar es perfect. Norma workup: ACTH stimulation probar (screens para iatrogenic Cushing's y monitors treatment), bajo-dose dexamethasone suppression probar (LDDST — puede sometimes differentiate pituitary vs adrenal), y abdominal ultrasound (visualize adrenal glands). Falso positives occur con ANY significant non-adrenal illness — nunca probar para Cushing's en un sick dog.

Treatment & Costo

Trilostane (Vetoryl) es el standard de care: $80-$200/month depending en dog size. Lifelong monitoring: ACTH stimulation tests en 2 weeks, 4 weeks, 12 weeks después starting, entonces cada 3-6 months ($200-350 cada). Annual management costo: $2,000-$5,000. Sobre-suppression (Addisonian crisis de demasiado mucho trilostane) es un life-threatening emergency requiring ICU hospitalization — owners debe saber el signs: vomiting, diarrhea, collapse, y detener medication immediately.

Relacionado Topics

Dog Cushings Canine Hyperadrenocorticism Dog Excesivo Drinking Dog Pot Belly Dog Hair Loss
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References & Further Lectura

  • ASPCA. Común Dog & Cat Behavior Issues. aspca.org/pet-care
  • American Animal Hospital Association (AAHA). Pet Behavior Recursos. aaha.org
  • Journal de Veterinary Behavior (Elsevier). Clinical Aplicaciones y Research. sciencedirect.com
  • American Veterinary Society de Animal Behavior (AVSAB). Position Statements & Recursos. avsab.org

Citations son provided para educational referencia. Content es revisado periodically but hace no reemplazar professional veterinary advice. Si su pet shows signs de illness, contact un licensed veterinarian immediately.

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