Diagnostic Tests For Hyperthyroidism In Cats

Although hyperthyroidism is relatively easy to diagnose in classically presenting cats the increased frequency of testing cats with early mild disease as well as the routine screening of large numbers of asymptomatic cats has had significant implications for the diagnostic performance of many of the routine tests currently used.

Diagnostic tests for hyperthyroidism in cats.

A diagnosis of hyperthyroidism is made when the level of thyroid hormone is increased in the blood. T3 suppression test for cats diagnosis of feline hyperthyroidism can usually be accomplished by measuring t3 t4 and or free t4 in a single baseline blood sample. Hyperthyroid cats may have normal findings on the cbc and urinalysis but the chemistry panel often shows elevation of several liver enzymes. The most common cause of hypothyroidism in cats is due to radioactive iodine i 131 therapy to treat hyperthyroidism and is usually transient.

Hyperthyroidism can cause weight loss despite a good appetite increased water consumption and urination vomiting diarrhea cardiomyopathy and hypertension. Hyperthyroidism also known as hyperthyroid disease occurs when the thyroid gland enlarges and starts producing excess amounts of thyroid hormone thyrotoxicosis in cats thyrotoxicosis is usually caused by a benign tumor on one or both thyroid glands. As a result tests are run to prove or disprove an abnormal thyroid level. Hyperthyroidism is a common condition in older cats that is caused by excess release of thyroid hormone resulting in an increased metabolic state.

More than 99 of t3 and t4 is bound to protein thyroid binding globulin which prevents the t4 from entering the various tissues. In the vast majority of cases a definitive diagnosis of hyperthyroidism is based on a simple blood test that shows elevated t 4 levels in the bloodstream. Up to 12 of cats with nonthyroidal illness that do not have hyperthyroidism have high free t 4 concentrations for reasons that are unclear figure 3 figure 4 11 27 therefore caution is therefore advised in using serum free. Suggested articles hypertension chronic kidney disease diagnosis.

Also called thyrotoxicosis hyperthyroidism is caused by an increase in production of thyroid hormones known as t3 and t4 from an enlarged thyroid gland in a cat s neck. However the potential for false negative and false positive results exists with all thyroid function tests especially in the context of routine screening of asymptomatic cats and leads to clinical dilemmas. Hypothyroidism is a rare endocrine disorder in cats which occurs when there is an underproduction of thyroid hormones. Diagnosis is made by testing blood thyroid hormone levels.

In older cats presenting with clinical features of hyperthyroidism confirmation of a diagnosis of thyroid disease is usually straightforward. The most important disadvantage of use of the free t 4 determination however is the loss of diagnostic specificity that is occasionally seen in sick euthyroid cats. Most hyperthyroid cats have very high levels of hormone but some cats will have signs of hyperthyroidism with normal or only slightly increased levels of thyroid hormone 1.