Diagnosis and Management of Canine Hyperadrenocorticism (cHAC)
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Keywords:
alopecia, ketaconazole, mitotane, polyuriaAbstract
Canine hyperadrenocorticism (cHAC) in an eleven-year-old male dog was diagnosed through battery tests viz., low-dose dexamethasone suppression test, determination of the urine cortisol to creatinine ratio, and dermato-pathological assessment. Symptoms such as increased thirst, excessive appetite, frequent urination, bilateral hair loss, skin thinning, prominent abdominal blood vessels, and distended abdomen were encountered in the present case. Serum biochemistry analysis revealed high levels of ALP, while dermato-pathological examination revealed abnormalities in the epidermis, sweat gland, sebaceous glands, altered hair follicle morphology.A combined therapy approach was employed, consisting of oral tablets containing ketoconazole (10 mg/kg of body weight) and mitotane. The initial mitotane dose was administered at 50 mg/kg of body weight, followed by a maintenance dose of 25 mg/kg of body weight. Theaffected dogdisplayed significant improvement in two months of therapy.
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