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The course of treatment for Cushing’s depends on several variables, including where the tumor is, what kind of tumor it is, the state of the pituitary gland and the dog’s health. She had Cushing’s.Ĭushing’s Disease is described by veterinarians as “insidious.” It is slowly progressive, and in most cases there is no cure, just treatment. Our vet recommended the LDDS test, which confirmed her diagnosis. ACTH also measures cortisol levels over time using the ACTH (adrenocorticotropic) hormone to stimulate the production of cortisol. LDDS stands for low-dose dexamethasone suppression and measures cortisol levels over a period of time by suppressing cortisol levels with dexamethasone. There are two “final test” choices: an LDDS test and an ACTH stimulation test. This test is tricky and not always conclusive, so to confirm results, they then performed a final test. My dog’s blood work had these warning signs, so next they analyzed her urine to get a urine cortisol to creatinine ratio. If, like me, you are not that familiar with blood work, then all that is mostly gibberish and what you actually need to know is that your vet knows what to look for. If you’re familiar with blood work, those markers are abnormal levels of alkaline phosphatase, alanine amino transferase and blood urea nitrogen. After assessing the clinical signs (aka, symptoms), my vet ran blood work to look for markers of the disease. Diagnosing a dog with Cushing’s is complicated. A test sounds so simple, and we are conditioned to associate tests with accuracy.Ĭushing’s is not that simple.
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When the specialist first told me to get my dog tested for Cushing’s, I was relieved.
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Her skin is thinner now and doesn’t heal as quickly, but the good news is that her hair did grow back just as plush as ever and she is back to her super-soft self. We got her a pee mat and doggy diapers to help deal with her accidents while we figured out the right dosage for her meds. My dog developed quite a few of these symptoms as time went on. Calcinosis cutis (calcium deposits on the skin).Recurring urinary tract infections (ouch).The list is long, but worth familiarizing yourself with, especially if you own a miniature poodle, dachshund, boxer, Boston terrier or a beagle, as these breeds are prone to the disease.
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The flood of steroids in their system wreaks havoc on their bodies, basically breaking things down.ĭemodex and changes to my dog’s coat were just a few of the symptoms of Cushing’s disease in dogs. If you’ve ever had to take a course of a steroid like prednisone, you’ve had a tiny peek into the world of a Cushing’s dog. To put it simply, when the body produces too many steroids, bad things happen. These glands control steroid production in the body.
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Adrenal-dependent Cushing’s is less common, and the tumor can be benign or cancerous. Pituitary-dependent Cushing’s is much more common and usually results from a benign tumor. There are two kinds of Cushing’s disease. I had heard of Cushing’s before, but never imagined my dog’s dry skin could be a serious disease.Ĭushing’s occurs when a tumor affects either the pituitary or adrenal gland. “I highly recommend you get her tested for Cushing’s disease,” he said, effectively casting a black cloud over the rest of my dog’s life. The face that says, “that’s interesting.” You know what I’m talking about - the doctor face. The specialist made that face that we all dread. My cocker spaniel has been described by most who meet her as “literally the softest dog ever.” Recently, her legendary plush had turned coarse and thin, and her black fur had taken on a slightly reddish tint in places. He took some skin scrapings and confirmed my vet’s suspicions - it was, in fact, demodex - and then I mentioned that her coat had thinned out and changed color too. She had it mostly around her eyes, and the dry, flaky skin didn’t seem to bother her, so I wasn’t overly concerned when my vet suggested that I take her to a dermatologist. When my dog was diagnosed with demodectic mange, often referred to simply as demodex, my first thought was “ew, mange.” Mange sounds gross, but I never imagined it was serious.