Skin: thyroid-responsive alopecia

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Sections available in full article Introduction, Presenting signs, Age predisposition, Sex predisposition, Pathogenesis, Pathophysiology, Diagnosis, Presenting problems, Client history, Clinical signs, Diagnostic investigation, Differential diagnosis, Treatment, Standard treatment,
Contributors

Introduction

  • Rare.
  • Underlying cause may be iatrogenic, congenital or acquired hypothyroidism  Hypothyroidism  .
    Many cases of feline alopecia show improvement on thyroid supplementation. even though there is no demonstrable problem with thyroid function. Response to thyroid supplementation is NOT diagnostic for thyroid related disease.

Diagnosis

Clinical signs

Congenital hypothyroidism
  • Full fluffy hair coat containing few primary hairs, alternatively alopecia may be evident  Skin: alopecia - thyroid responsive in Cornish Rex  .
  • Thickened skin.
  • Stunting, kittens become disproportionate dwarfs.
  • Lethargy and mental dullness.
Spontaneous adult-onset hypothyroidism
  • Dull dry coat, lighter than normal.
  • Poor hair growth.
  • Easily epilated hairs over trunk and abdomen.
    Iatrogenic hypothyroidism
  • Bilateral symmetrical alopecia of the pinnae.

Diagnosis

Differential diagnosis

  • Other causes of alopecia .

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