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Digest Number 6
Carla Davis <lmdavis@...>
Donna:
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Your mare sounds rather suspicious for Cushings. I'd have her checked. There are several different tests and many opinions on which is the most accurate one for diagnosing. Cushings is difficult to be "absolutely" sure of because we can't look into their heads and actually see any tumors. My horse, the 21 yr. old Swedish gelding referred to in previous letters on this list, had several outward symptoms that I was dealing with. After dealing with a bad respiratory "bug", several skin infections and an extremely bad case of thrush (which took three months to clear up) my vet suggested that we should check for Cushings. His first approach was to check the level of ACTH in my horses blood. My vet (and a few others in our area) believe that if the ACTH is high then thats pretty indicative of a pituitary problem. IF the ACTH had come back normal then the next step would be to do a Dexamethasone suppression test. My horse's ACTH was so far off the scale that there was no reason to go further. One thing to be aware of is that quite often people will check the thyroid and diagnose a problem there. Often the thyroid problems are actually related to Cushings and treating only for thyroid is not enough. Cushings is a pretty manageble disease if the horse responds to the medication. The earlier the diagnoses the more likely you are to have good results with the medication. Just remember that you are only treating the symptoms. There is no way to treat the actual tumor. Good luck and please share anymore info. you find. We all appreciate any input we can get. Carla -----Original Message-----
From: sentto-376841-6-lmdavis=wa.freei.net@... [mailto:sentto-376841-6-lmdavis=wa.freei.net@...]On Behalf Of EquineCushings@... Sent: Sunday, February 20, 2000 2:14 AM To: EquineCushings@... Subject: [EquineCushings] Digest Number 6 Topics in today's digest: Date: Sat, 19 Feb 2000 06:25:15 -0800 (PST) From: Donna Mire <dmire@...> Subject: Lady's cresty neck??? I had a pre-purchase exam done on a mare that has what I've been hearing others call a 'cresty neck'. I am looking for more information about this. I've been told it is a symptom of a thyroid problem; but then I've also read conflicting information that it is not but rather it is seen in horses that have a pituitary or endocrine problem (like Cushings syndrome). I'd be interested in hearing about either or other reasons you may have had experience with. Lady is a 16 year old MFT and has had this for about 10 years. The 'extra' neck along the crest appears to be fat. Although the vet didn't seem to think she was over weight anywhere else and wasn't too concerned about it. She has not had any signs of founder either. Other than her neck, my vet who did the pre-purchase exam said she was pretty clean. What type of tests can be run to see if she has Cushings disease? The owner mentioned a few other things about Lady. She drinks alot of water, takes longer to shed than her stablemate (but does shed out completely in the summer), had been treated in the past for a chronic cough. I found the following information about this in an article at http://www.thehorse.com/0297/cushings_disease0297.html. "Even before that characteristic hair coat appears, a horse with Cushing's syndrome might demonstrate a host of other symptoms that are sometimes overlooked or chalked up to old age. The first symptom to appear generally is polydipsia (excessive thirst) coupled with polyuria (excessive urination)--which might go unnoticed if the animal is kept outside rather than stabled. Horses might go through as much as 80 liters of water a day instead of the normal 20 to 30 liters. Other symptoms can include a swaybacked or potbellied appearance, increased appetite (generally with no corresponding weight gain), loss of muscle over the topline, and chronic laminitis. Horses with Cushing's syndrome become more susceptible to diseases and infections due to a compromised immune system. They frequently suffer bouts of respiratory disease, skin infections, foot abscesses, buccal (mouth) ulcers and periodontal disease, and even infections of the tendon sheath or joints. Wound healing is also noticeably slowed. ... A hypothyroid horse often exhibits some of the same signs as a Cushing's victim--delayed shedding of the winter coat, lethargy, retarded growth, and healing. Unlike a Cushingoid horse, however, he will usually suffer a decrease in appetite, but gain weight nonetheless, and he often develops a characteristically thick, cresty neck. (Cushing's horses will often look potbellied, but rarely gain much weight.) And while Cushing's horses usually remain quite bright in attitude, a hypothyroid horse will strike one as "depressed."" Thanks Donna |
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Donna Mire <dmire@...>
--- Carla Davis <lmdavis@...> wrote:
accurate one for diagnosing. Cushings is difficult to be "absolutely" sure ofThere are several different tests and many opinions on which is the most because we can't look into their heads and actually see any tumors. .....His first approach was to check the level of ACTH in my horses blood. ...the next step would be to do a Dexamethasone suppression test.<< I have the vet going out today and tomorrow to do the Dexamethasone suppression test. Do we have information about how accurate this test is? What would you suggest doing if the cortisol levels are normal after this test? medication. The earlier the diagnoses the more likely you are to have goodCushings is a pretty manageble disease if the horse responds to the results with the medication. Just remember that you are only treating the symptoms. There is no way to treat the actual tumor.<< I heard it could be pretty expensive to treat this disease. I heard $70 - $100 a month. Is that the case? thanks alot for your feedback Donna __________________________________________________ Do You Yahoo!? Talk to your friends online with Yahoo! Messenger. http://im.yahoo.com |
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