Hipoadrenocorticismo (enfermedad de addison) en canino hembra de 3 años de edad.

Abstract

Hypoadrenocorticism or Addison's disease is an endocrinopathy characterized by a deficiency in the secretion of glucocorticoids and mineralocorticoids by the adrenal cortex. Due to its low prevalence in canines and the course of the disease with nonspecific clinical signs can lead to its underdiagnosis. This report will present the clinical case of a 3-year-old female canine patient with a history of vomiting, diarrhea, loss of appetite and decay, who underwent a clinical examination, hematological analysis, blood chemistry, abdominal ultrasonography and gases. arterial, whose results allowed us to suspect this disease. Thanks to the baseline cortisol measurement, which was found to be below the reference range, hypoadrenocorticism could be considered as a presumptive diagnosis, a fact that was supported by the smaller size of the adrenal glands on ultrasound. With all this, it was possible to propose an initial treatment with fludrocortisone 0.01 mg / kg / PO / BID indefinitely and prednisolone 0.5 mg / kg / PO / BID as the initial dose, decreasing the dose every five days for 15 days. Currently the patient has shown a favorable and continuous evolution in medical check-ups from time to time.