Cushing’s is most common in middle-aged to older patients. Pituitary-dependent hyperadrenocorticism is most common in small terrier-type breeds, while larger dogs are more likely to be affected by adrenal-dependent hyperadrenocorticism.
Regardless of the underlying cause, the clinical signs are the same.
With Cushing’s disease, there can be a fine line when deciding whether to begin treatment, especially in cases where the presenting features seem to contradict each other. Dechra provides you with an extensive range of resources to support you with the diagnosis of Cushing’s.
Developed in conjunction with Peter Graham, BVMS PhD CertVR DipECVCP MRCVS, Clinical Associate Professor Clinical Pathology and Endocrinology, University of Nottingham School of Veterinary Medicine and Science, Dechra has created a Decision App to help you prioritise the symptoms you are seeing in a particular case. It will indicate whether Cushing’s disease is likely to be the cause, allowing you decide whether to progress to treatment.
Cushing’s and Communication
We also understand that good communication can lead to increased compliance from owners, making the transition from suspicion to diagnosis that bit easier.
A series of short webcasts have been recorded with Dr Audrey Cook discussing the challenges of, and providing solutions to, communicating effectively with pet owners about Cushing's. Each webcast has been broken into short bite-size sections covering:
• When to talk about Cushing’s
• Diagnosis walkthrough
• Engaging and supporting pet owners with treatment
i Feldman and Nelson (Eds.) (2004) Canine and Feline Endocrinology and Reproduction (3rd ed.) Saunders Elsevier, St. Louis, Missouri 278
ii. Internal report VET0818
iii. Ettinger et al (2010) Textbook of Veterinary Internal Medicine 7th edition, 292: 1820
iv. Behrend et al (2013) Diagnosis of Spontaneous Canine Hyperadrenocorticism: 2012 ACVIM Consensus Statement (Small Animal). JVIM 26 , 1294-1304