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Showing posts with label acromegaly. Show all posts
Showing posts with label acromegaly. Show all posts

Thursday, September 20, 2012

Acromegaly in cats

Greco DS. Feline acromegaly. Top Companion Anim Med. 2012; 27: 31-5.
From Dr. Mark Peterson: endocrinevet.blogspot.com

Acromegaly (or hypersomatotropism) is a disease that derives its name from two Greek words: ‘acro’ (meaning extremity) and ‘megale’ (meaning great). The disease has been known in humans for at least 100 years, and has been identified in cats starting in the 1980s. The disease is caused by a tumor (adenoma) of the pituitary gland in the brain that leads to excessive secretion of growth hormone. The effects of excessive growth hormone include the development of diabetes mellitus and increase in size of certain parts of the body (e.g., jaw, skull, limbs). Internal organs (e.g., heart, liver, kidney) may also be increased in size. 

The typical feline patient is an older male cat with diabetes mellitus that is difficult to manage. The disease is diagnosed by finding increased blood levels of growth hormone and/or insulin-like growth factor as well as demonstration of a pituitary mass using magnetic resonance imaging or computed tomography. Few treatments are available for this disease in cats; to date, the most effective approach has been radiation therapy. Most affected cats eventually die of congestive heart failure, chronic kidney failure, or complications of the growing pituitary tumor. [SL]

See also: 

More on cat health: Winn Feline Foundation Library
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Greco DS. Feline acromegaly. Top Companion Anim Med. 2012; 27: 31-5.
From Dr. Mark Peterson: endocrinevet.blogspot.com

Acromegaly (or hypersomatotropism) is a disease that derives its name from two Greek words: ‘acro’ (meaning extremity) and ‘megale’ (meaning great). The disease has been known in humans for at least 100 years, and has been identified in cats starting in the 1980s. The disease is caused by a tumor (adenoma) of the pituitary gland in the brain that leads to excessive secretion of growth hormone. The effects of excessive growth hormone include the development of diabetes mellitus and increase in size of certain parts of the body (e.g., jaw, skull, limbs). Internal organs (e.g., heart, liver, kidney) may also be increased in size. 

The typical feline patient is an older male cat with diabetes mellitus that is difficult to manage. The disease is diagnosed by finding increased blood levels of growth hormone and/or insulin-like growth factor as well as demonstration of a pituitary mass using magnetic resonance imaging or computed tomography. Few treatments are available for this disease in cats; to date, the most effective approach has been radiation therapy. Most affected cats eventually die of congestive heart failure, chronic kidney failure, or complications of the growing pituitary tumor. [SL]

See also: 

More on cat health: Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Join us on Google+

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Monday, March 12, 2012

Treatment of feline acromegaly

Final report, Winn grant W10-017
Evaluation of a long-acting somatostatin receptor ligand for the treatment of feline acromegaly
Investigator: K.F. Lunn, Colorado State University

Acromegaly results from chronic excessive growth hormone secretion from a tumor of the pituitary gland. Cats with acromegaly exhibit insulin resistance leading to diabetes mellitus which can be difficult to control, along with enlarged organs, soft tissues and bony structures, and cardiac and renal disease. Once considered rare, current information suggests that acromegaly is significantly underdiagnosed.
An effective treatment could lead to wider awareness of this disorder in cats. This study examined the use of a drug used in humans for acromegaly called octreotide, a somatostin receptor ligand. The researchers found that octreotide appears to be safe in cats, but not all cats benefited from its use. At the dose and duration of treatment these investigators used, octreotide was not found to be therapeutically effective for acromegaly. This study should aid treatment decisions for cats with this condition. [MK]

Related articles: Niessen SJM. Feline Acromegaly: An essential differential diagnosis for the difficult diabetic. J Feline Med Surg. 2010; 12: 15-23.

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Read the Cat Health News weekly
Join us on Google+
Final report, Winn grant W10-017
Evaluation of a long-acting somatostatin receptor ligand for the treatment of feline acromegaly
Investigator: K.F. Lunn, Colorado State University

Acromegaly results from chronic excessive growth hormone secretion from a tumor of the pituitary gland. Cats with acromegaly exhibit insulin resistance leading to diabetes mellitus which can be difficult to control, along with enlarged organs, soft tissues and bony structures, and cardiac and renal disease. Once considered rare, current information suggests that acromegaly is significantly underdiagnosed.
An effective treatment could lead to wider awareness of this disorder in cats. This study examined the use of a drug used in humans for acromegaly called octreotide, a somatostin receptor ligand. The researchers found that octreotide appears to be safe in cats, but not all cats benefited from its use. At the dose and duration of treatment these investigators used, octreotide was not found to be therapeutically effective for acromegaly. This study should aid treatment decisions for cats with this condition. [MK]

Related articles: Niessen SJM. Feline Acromegaly: An essential differential diagnosis for the difficult diabetic. J Feline Med Surg. 2010; 12: 15-23.

More on cat health:
Winn Feline Foundation Library
Find us on Facebook
Follow us on Twitter
Read the Cat Health News weekly
Join us on Google+
Read More