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Addison's Disease,
also known as hypoadrenocorticism, was first identified by
Dr. Thomas Addison in 1855 -- as a human ailment. (The
most famous homo sapien sufferer was President John F.
Kennedy.) Other breeds besides Bassets can be affected:
Standard Poodles, Labradors and Portuguese Water Dogs all
have high instances of the disease. Your Basset (like all
other dogs) has two adrenal glands that are located right in
front of each kidney. They produce all kinds of important
hormones -- adrenaline, cortisone, aldosterone, even a
little estrogen and testosterone. The pituitary and
hypothalamus glands in the brain direct the adrenal glands
to make the hormones in the first place. A dog with
Addison's cannot produce enough cortisone and aldesterone,
both of which are necessary for life. Cortisone affects
every single organ in the body, while aldesterone regulates
sodium and potassium levels in the blood.
Symptoms of
Addison's include intermittent appetite changes, thirst,
vomiting or diarrhea, lethargy, and loss of weight. Your
Basset may appear depressed, and have a slow heart rate
(caused by high blood potassium). Critical cases may include
shock and circulatory collapse. Because the symptoms seem
to wax and wane, it may be easy for an owner to overlook
the first signs of Addison's. (It took years to diagnose
Kennedy!) Your vet can diagnose Addison's with a blood and
urine test. The vet may also take a chest x-ray, or, for a
definitive diagnosis, do an ACTH response test. This measures
the level of cortisone in the blood stream before and
after the stimulation of the adrenal glands.
Treatment
requires your Basset to be on lifelong therapy with synthetic
cortisone and aldosterone. Your vet may use a low-dose
prednisone to replace the cortisone. Don't worry about
side-effects: the dose is about one-fifth the amount used to
treat flea allergy dermatitis. To replace the aldosterone,
your vet may use a daily oral medication called Florinef
or else a monthly injectible therapy called DOCP
(desoxycorticosterone pivalate). Costs are about the same
for each treatment.
With prompt and adeaquate
treatment, including a calm lifestyle, your Addison's dog
can live a long and healthy life!
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