The detail information of Addison's disease (hypoadrenocorticism)
Basic Information

Another Name: hypoadrenocorticism

Disease Description: A disease characterized by inadequate secretion of cortisone from the adrenal glands. More common in Old English sheepdogs, standard poodles and bearded collies.

Inherit Mode: unknown.

Disease Symptom: Mineralocorticoids and glucocorticoids normally produced by the adrenal gland are instrumental in regulating many body functions. A deficiency of these hormones therefore causes a variety of clinical signs. The most common problems noticed by owners include depression, weakness, loss of appetite, shaking or shivering, vomiting, diarrhea, and increased thirst and urination. Your dog may experience any or all of these and with varying degrees of severity. When these vague signs go unnoticed or undiagnosed, dogs with hypoadrenocorticism may become seriously ill very quickly, developing acute adrenocortical insufficiency (Addisonian crisis). This is a life-threatening medical emergency requiring immediate treatment to correct the dehydration and electrolyte imbalances present.

Disease Cause: -

Disease Diagnose: Because of the variety of clinical signs, hypoadrenocorticism is often difficult to diagnose. Commonly dogs with this condition will have a history of vague illnesses associated with periods of stress, that responded to non-specific treatment and supportive care such as cage rest, or giving intravenous fluids to treat dehydration. Ultimately diagnosis is made based on the combination of clinical signs, suggestive results of routine blood tests, and the results of a specific test for this disorder.

Treat Method: Dogs with hypoadrenocorticism are treated with lifelong mineralocorticoid supplements, often with glucocorticoids as well. Your veterinarian will measure your dog's electrolyte levels regularly until the appropriate dose is found, and then sporadically after that. Hypoadrenocorticism can usually be well-controlled in this way although you should be alert to signs of relapse or illness in your dog, particularly during periods of stress (such as surgery or trauma). Dogs in collapse with acute adrenocortical insufficiency must be treated immediately with intravenous glucocorticoids and large volumes of intravenous fluids to correct dehydration and electrolyte imbalances. Your veterinarian may start giving your dog oral mineralocorticoids at this time, or wait until your dog is stable. For the veterinarian:Most electrolyte imbalances are corrected by rapid fluid and glucocorticoid administration. Severe metabolic acidosis, hypoglycemia and hyperkalemia causing cardiac conduction abnormalities may require additional therapy, and should be treated as necessary if not responding.

Breeder Advice: Although little is known about the inheritance of this disorder, it is prudent to avoid breeding affected animals or their close relatives.

Disease Description Source: Link

Associated Diseases
Disease Name Other Name Mode of inheritance Link ID Possible OMIM ID Gene
Hypoadrenocorticism - Multifactorial -
Hypoadrenocorticism, primary - - - -
Associated Breeds
iDog Breed Number Breed Name Personality Height Weight Breed Source
CB23 Bavarian Mountain Scent Hound Loyal, Versatile, Reserved with Strangers 17-20.5 inches 37-66 pound
CB26 Beauceron(French Short-Haired Shepherd Dog) Smart, obedient, gentle; reserved with strangers, loving and eager to please with preferred humans 64.8-69.9 cm (male), 61-67.3 cm (female) 31.8-49.9 kg France
CB98 English Toy Spaniel Affectionate, Alert, Merry 22.9-25.4 cm 3.6-6.4 kg England
CB112 German Spitz Devoted, Lively, Attentive 12-15 inches 24-26 pounds Germany
CB148 Lagotto Romagnolo(Romagna Water Dog) Easygoing, affectionate, and eager to please 43.2-48.3 cm (male), 40.6-45.7 cm (female) 12.9-15.9 kg (male), 10.9-14.1 kg (female) Italy
CB173 Nova Scotia Duck Tolling Retriever Smart, outgoing, busy; as affectionate and eager to please as any good retriever 45.7-53.3 cm (male), 43.2-50.8 cm (female) 15.9-22.7 kg Canada
CB174 Old English Shepherd Dog Adaptable, smart, gentle; OES are famous for their sweet, agreeable nature 55.9 cm & up (male), 53.3 cm & up (female) 27.2-45.4 kg United Kingdom (England)
CB175 Otterhound Even-Tempered, amiable, boisterous 68.6 cm (male), 61 cm (female) 52.2 kg (male), 36.3 kg (female) United Kingdom (England)
CB194 Portuguese Water Dog Affectionate, Adventurous, Athletic 50.8-58.4 cm (male), 43.2-53.3 cm (female) 19.1-27.2 kg (male), 15.9-22.7 kg (female) Portugal
CB195 Pudelpointer Friendly, Smart, Willing to Please 22-26 inches 45-70 pounds Germany
CB206 Russell Terrier Alert, lively, inquisitive, and friendly 25.4-30.5 cm 4.1-6.8 kg United Kingdom (England)
CB228 Soft-Coated Wheaten Terrier Happy, friendly, and deeply devoted; just stubborn enough to remind you they’re terriers 45.7-48.3 cm (male), 43.2-45.7 cm (female) 15.9-18.1 kg (male), 13.6-15.9 kg (female) Ireland
CB229 Spanish Mastiff Aloof, dignified, calm and intelligent Spain
CB255 West Highland White Terrier Happy, smart, loyal, entertaining 27.9 cm (male). 25.4 cm, female 6.8-9.1 kg United Kingdom (Scotland)
CB256 English Whippet Calm, affectionate, and playful 48.3-55.9 cm (male), 45.7-53.3 cm (female) 11.3-18.1 kg England
CB269 Standard Poodle Intelligent and quick-to-please 56-66 cm
References
2020 Gershony,L.C.,Belanger,J.M.,Hytönen,M.K.,Lohi,H.,Famula,T.R.,Oberbauer,A.M.: :
Correction to: Genetic characterization of Addison's disease in Bearded Collies. BMC Genomics 21:898, 2020.
Pubmed reference: 33380317 . DOI: 10.1186/s12864-020-07328-w .
2020 Gershony,L.C.,Belanger,J.M.,Hytönen,M.K.,Lohi,H.,Famula,T.R.,Oberbauer,A.M.: :
Genetic characterization of Addison's disease in Bearded Collies. BMC Genomics 21:833, 2020.
Pubmed reference: 33243158 . DOI: 10.1186/s12864-020-07243-0 .
2019 Gershony,L.C.,Belanger,J.M.,Short,A.D.,Le,M.,Hytönen,M.K.,Lohi,H.,Famula,T.R.,Kennedy,L.J.,Oberbauer,A.M.: :
DLA class II risk haplotypes for autoimmune diseases in the bearded collie offer insight to autoimmunity signatures across dog breeds. Canine Genet Epidemiol 6:2, 2019.
Pubmed reference: 30783534 . DOI: 10.1186/s40575-019-0070-7 .
2019 Treeful,A.E.,Rendahl,A.K.,Friedenberg,S.G.,Treeful,A.E.,Rendahl,A.K.,Friedenberg,S.G.: :
DLA class II haplotypes show sex-specific associations with primary hypoadrenocorticism in Standard Poodle dogs. Immunogenetics 71:373-382, 2019.
Pubmed reference: 30968193 . DOI: 10.1007/s00251-019-01113-0 .
2018 Lathan,P.,Thompson,A.L.: :
Management of hypoadrenocorticism (Addison's disease) in dogs. Vet Med (Auckl) 9:1-10, 2018.
Pubmed reference: 30050862 . DOI: 10.2147/VMRR.S125617 .
2017 Friedenberg,S.G.,Lunn,K.F.,Meurs,K.M.: :
Evaluation of the genetic basis of primary hypoadrenocorticism in Standard Poodles using SNP array genotyping and whole-genome sequencing. Mamm Genome 28:56-65, 2017.
Pubmed reference: 27864587 . DOI: 10.1007/s00335-016-9671-6 .
2017 Wakayama,J.A.,Furrow,E.,Merkel,L.K.,Armstrong,P.J.: :
A retrospective study of dogs with atypical hypoadrenocorticism: a diagnostic cut-off or continuum? J Small Anim Pract :, 2017.
Pubmed reference: 28247992 . DOI: 10.1111/jsap.12649 .
2016 Gold,A.J.,Langlois,D.K.,Refsal,K.R.: :
Evaluation of basal serum or plasma cortisol concentrations for the diagnosis of hypoadrenocorticism in dogs. J Vet Intern Med :, 2016.
Pubmed reference: 27714859 . DOI: 10.1111/jvim.14589 .
2015 Hanson,J.M.,Tengvall,K.,Bonnett,B.N.,Hedhammar,Å.: :
Naturally occurring adrenocortical insufficiency--An epidemiological study based on a Swedish-insured dog population of 525,028 Dogs. J Vet Intern Med 30:76-84, 2015.
Pubmed reference: 26683136 . DOI: 10.1111/jvim.13815 .
2015 Pedersen,N.C.,Brucker,L.,Tessier,N.G.,Liu,H.,Penedo,M.C.,Hughes,S.,Oberbauer,A.,Sacks,B.: :
The effect of genetic bottlenecks and inbreeding on the incidence of two major autoimmune diseases in standard poodles, sebaceous adenitis and Addison's disease. Canine Genet Epidemiol 2:14, 2015.
Pubmed reference: 26401342 . DOI: 10.1186/s40575-015-0026-5 .
2014 Boag,A.M.,Catchpole,B.: :
A review of the genetics of hypoadrenocorticism. Top Companion Anim Med 29:96-101, 2014.
Pubmed reference: 25813849 . DOI: 10.1053/j.tcam.2015.01.001 .
2014 Short,A.D.,Catchpole,B.,Boag,A.M.,Kennedy,L.J.,Massey,J.,Rothwell,S.,Henthorn,P.S.,Littman,M.P.,Husebye,E.,Ollier,B.: :
Putative candidate genes for canine hypoadrenocorticism (Addison's disease) in multiple dog breeds. Vet Rec :, 2014.
Pubmed reference: 25124887 . DOI: 10.1136/vr.102160 .
2014 VanLanen,K.,Sande,A.: :
Canine hypoadrenocorticism: pathogenesis, diagnosis, and treatment. Top Companion Anim Med 29:88-95, 2014.
Pubmed reference: 25813848 . DOI: 10.1053/j.tcam.2014.10.001 .
2013 Bellumori,T.P.,Famula,T.R.,Bannasch,D.L.,Belanger,J.M.,Oberbauer,A.M.: :
Prevalence of inherited disorders among mixed-breed and purebred dogs: 27,254 cases (1995-2010). J Am Vet Med Assoc 242:1549-55, 2013.
Pubmed reference: 23683021 . DOI: 10.2460/javma.242.11.1549 .
2013 Massey,J.,Boag,A.,Short,A.D.,Scholey,R.A.,Henthorn,P.S.,Littman,M.P.,Husebye,E.,Catchpole,B.,Pedersen,N.,Mellersh,C.S.,Ollier,W.E.,Kennedy,L.J.: :
MHC class II association study in eight breeds of dog with hypoadrenocorticism. Immunogenetics 65:291-7, 2013.
Pubmed reference: 23358933 . DOI: 10.1007/s00251-013-0680-2 .
2013 Short,A.D.,Boag,A.,Catchpole,B.,Kennedy,L.J.,Massey,J.,Rothwell,S.,Husebye,E.,Ollier,B.: :
A candidate gene analysis of canine hypoadrenocorticism in 3 dog breeds. J Hered :, 2013.
Pubmed reference: 23997205 . DOI: 10.1093/jhered/est051 .
2010 Hughes,AM.,Jokinen,P.,Bannasch,DL.,Lohi,H.,Oberbauer,AM.: :
Association of a dog leukocyte antigen class II haplotype with hypoadrenocorticism in Nova Scotia Duck Tolling Retrievers. Tissue Antigens 75:684-90, 2010.
Pubmed reference: 20136772 . DOI: 10.1111/j.1399-0039.2010.01440.x .
2010 Klein,SC.,Peterson,ME.: :
Canine hypoadrenocorticism: Part I. Can Vet J 51:63-9, 2010.
Pubmed reference: 20357943 .
2010 Klein,SC.,Peterson,ME.: :
Canine hypoadrenocorticism: part II. Can Vet J 51:179-84, 2010.
Pubmed reference: 20436864 .
2009 Gow,AG.,Gow,DJ.,Bell,R.,Simpson,JW.,Chandler,ML.,Evans,H.,Berry,JL.,Herrtage,ME.,Mellanby,RJ.: :
Calcium metabolism in eight dogs with hypoadrenocorticism. J Small Anim Pract 50:426-30, 2009.
Pubmed reference: 19689671 . DOI: 10.1111/j.1748-5827.2009.00757.x .
2009 Hughes,AM.,Bannasch,DL.,Kellett,K.,Oberbauer,AM.: :
Examination of candidate genes for hypoadrenocorticism in Nova Scotia Duck Tolling Retrievers. Vet J :, 2009.
Pubmed reference: 19931476 . DOI: 10.1016/j.tvjl.2009.10.012 .
2008 Adamantos,S.,Boag,A.: :
Total and ionised calcium concentrations in dogs with hypoadrenocorticism. Vet Rec 163:25-6, 2008.
Pubmed reference: 18603632 .
2008 Lathan,P.,Moore,GE.,Zambon,S.,Scott-Moncrieff,JC.: :
Use of a low-dose ACTH stimulation test for diagnosis of hypoadrenocorticism in dogs. J Vet Intern Med 22:1070-3, 2008.
Pubmed reference: 18537878 . DOI: 10.1111/j.1939-1676.2008.0118.x .
2007 Greco,DS.: :
Hypoadrenocorticism in small animals. Clin Tech Small Anim Pract 22:32-5, 2007.
Pubmed reference: 17542195 . DOI: 10.1053/j.ctsap.2007.02.005 .
2007 Hughes,AM.,Nelson,RW.,Famula,TR.,Bannasch,DL.: :
Clinical features and heritability of hypoadrenocorticism in Nova Scotia Duck Tolling Retrievers: 25 cases (1994-2006). J Am Vet Med Assoc 231:407-12, 2007.
Pubmed reference: 17669043 . DOI: 10.2460/javma.231.3.407 .
2006 Chase,K.,Sargan,D.,Miller,K.,Ostrander,EA.,Lark,KG.: :
Understanding the genetics of autoimmune disease: two loci that regulate late onset Addison's disease in Portuguese Water Dogs. Int J Immunogenet 33:179-84, 2006.
Pubmed reference: 16712648 . DOI: 10.1111/j.1744-313X.2006.00593.x .
2006 Oberbauer,AM.,Bell,JS.,Belanger,JM.,Famula,TR.: :
Genetic evaluation of Addison's disease in the Portuguese Water Dog. BMC Vet Res 2:15, 2006.
Pubmed reference: 16670022 . DOI: 10.1186/1746-6148-2-15 .
2005 Jarrett,RH.,Norman,EJ.,Squires,RA.: :
Liquorice and canine Addison's disease. N Z Vet J 53:214, 2005.
Pubmed reference: 16012593 . DOI: 10.1080/00480169.2005.36508 .
2005 Rockwell,J.,Monroe,WE.,Tromblee,TC.: :
Spontaneous hypoadrenocorticism in a dog after a diagnosis of hyperadrenocorticism. J Vet Intern Med 19:299-300, 2005.
Pubmed reference: 15822572 .
2003 Famula,T.R.,Belanger,J.M.,Oberbauer,A.M.: :
Heritability and complex segregation analysis of hypoadrenocorticism in the standard poodle Journal of Small Animal Practice 44:8-12, 2003.
Pubmed reference: 12570345 .
2002 Oberbauer,A.M.,Benemann,K.S.,Belanger,J.M.,Wagner,D.R.,Ward,J.H.,Famula,T.R.: :
Inheritance of hypoadrenocorticism in Bearded Collies American Journal of Veterinary Research 63:643-647, 2002.
Pubmed reference: 12013462 .
2000 Greco,D.S.: :
Hypoadrenocorticism in dogs and cats Veterinary Medicine 95:468-+, 2000.
2000 Mansfield,C.S.: :
Glucocorticoid deficiency (atypical hypoadrenocorticism) and exocrine pancreatic insufficiency in a German Shepherd Dog Australian Veterinary Practitioner 30:2-5, 2000.
1999 Hoerauf,A.,Reusch,C.: :
Ultrasonographic evaluation of the adrenal glands in six dogs with hypoadrenocorticism Journal of the American Animal Hospital Association 35:214-218, 1999.
Pubmed reference: 10333259 .
1998 Kelch,W.J.,Smith,C.A.,Lynn,R.C.,New,J.C.: :
Canine hypoadrenocorticism (Addisons-disease) Compendium on Continuing Education for the Practicing Veterinarian 20:921 ff., 1998.
1998 Syme,H.M.,Scottmoncrieff,J.C.: :
Chronic hypoglycaemia in a hunting dog due to secondary hypoadrenocorticism Journal of Small Animal Practice 39:348-351, 1998.
Pubmed reference: 9693421 .
1998 Vollmar,A.,Hoppen,H.O.,Ueberschar,S.: :
Secondary hypoadrenocorticism in a 4 month old Irish Wolfhound [German] Kleintierpraxis 43:453 ff., 1998.
1997 Burton,S.,Delay,J.,Holmes,A.,Somerville,C.,Eye,J.,Shaw,D.,Wack,O.,Hanna,P.: :
Hypoadrenocorticism in young related Nova Scotia Duck Tolling Retrievers Canadian Veterinary Journal - Revue Veterinaire Canadienne 38:231-234, 1997.
1997 Hirt,R.,Kleiter,M.: :
Hypoadrenocorticism - a diagnostic challenge [German] Kleintierpraxis 42:779 ff., 1997.
1997 Kintzer,P.P.,Peterson,M.E.: :
Treatment and long-term follow-up of 205 dogs with hypoadrenocorticism Journal of Veterinary Internal Medicine 11:43-49, 1997.
Pubmed reference: 9127289 .
1997 Kintzer,P.P.,Peterson,M.E.: :
Primary and secondary hypoadrenocorticism Veterinary Clinics of North America - Small Animal Practice 27:349 ff., 1997.
1997 Koch,J.,Jensen,A.L.,Wenck,A.,Iversen,L.,Lykkegaard,K.: :
Duplex doppler measurements of renal blood flow in a dog with addisons disease Journal of Small Animal Practice 38:124-126, 1997.
Pubmed reference: 9097245 .
1996 Lifton,S.J.,King,L.G.,Zerbe,C.A.: :
Glucocorticoid deficient hypoadrenocorticism in dogs - 18 cases (1986-1995) Journal of the American Veterinary Medical Association 209:2076-2081, 1996.
Pubmed reference: 8960190 .
1996 Melian,C.,Peterson,M.E.: :
Diagnosis and treatment of naturally occurring hypoadrenocorticism in 42 dogs Journal of Small Animal Practice 37:268-275, 1996.
Pubmed reference: 8805097 .
1996 Peterson,M.E.,Kintzer,P.P.,Kass,P.H.: :
Pretreatment clinical and laboratory findings in dogs with hypoadrenocorticism - 225 cases (1979-1993) Journal of the American Veterinary Medical Association 208:85-91, 1996.
Pubmed reference: 8682712 .
1996 Sadek,D.,Schaer,M.: :
Atypical addisons disease in the dog - a retrospective survey of 14 cases Journal of the American Animal Hospital Association 32:159-163, 1996.
Pubmed reference: 8680923 .
1995 Kintzer, PP and Peterson, ME. :
Hypoadrenocorticism in dogs WB Saunders Co. , Toronto. JD Bonagura and R Kirk (eds) Kirk's Current Veterinary Therapy XII Small Animal Practice. p 425-429
1995 Dixon,R.: :
The most common causes of hyperkalaemia in the dog are hypoadrenocorticism (Addison's disease), acute renal failure, and urethral obstruction Journal of Small Animal Practice 36:49, 1995.
Pubmed reference: 7723288 .
1995 Langlaisburgess,L.,Lumsden,J.H.,Mackin,A.: :
Concurrent hypoadrenocorticism and hypoalbuminemia in dogs Journal of the American Animal Hospital Association 31:307-311, 1995.
Pubmed reference: 7552662 .
1994 Boujon,C.E.,Bornandjaunin,V.,Scharer,V.,Rossi,G.L.,Bestetti,G.E.: :
Pituitary gland changes in canine hypoadrenocorticism: A functional and immunocytochemical study Journal of Comparative Pathology 111:287-295, 1994.
Pubmed reference: 7836570 .
1994 Kemppainen,R.J.,Clark,T.P.,Peterson,M.E.: :
Preservative effect of aprotinin on canine plasma immunoreactive adrenocorticotropin concentrations Domestic Animal Endocrinology 11:355-362, 1994.
Pubmed reference: 7530181 .
1994 Kintzer,P.P.,Peterson,M.E.: :
Diagnosis and Management of Primary Spontaneous Hypoadrenocorticism (Addison's Disease) in Dogs Seminars in Veterinary Medicine and Surgery - Small Animal 9:148-152, 1994.
Pubmed reference: 7938935 .
1994 Vanzyl,M.,Hyman,W.B.: :
Desoxycorticosterone pivalate in the management of canine primary hypoadrenocorticism. Journal of the South African Veterinary Association - Tydskrif Van Die Suid - Afrikaanse Veterinere Vereniging 65:125-129, 1994.
1993 Pascoe,K.: :
Treatment of Hypoadrenocorticism in Dogs Journal of the American Veterinary Medical Association 202:1192-1193, 1993.
Pubmed reference: 8496071 .
1991 Volz,R.: :
Primary Adrenocortical Insufficiency in the Dog, Addisons Disease - A Case Report Praktische Tierarzt 72:565-568, 1991.