Quote:
Originally Posted by dwerten  i was asking being on steroids and increasing doseage what are the cause for concern in relation to cushings? so if i increase dd steroids do i not need to be worried about her getting cushings ever?
I am always trying to learn as well and i know your expertise is cushings and this constantly comes up with me using steroids with dd. |
Well first, I don't want anyone thinking I have "expertise" in Cushings...I only know some things about it bc Wylie has Atypical Cushings. I will say, that it is an incredibly complicated disease - more complicated than any I've run across (in nursing). Atypical is even more complicated (to me) than "Cushings".
I really don't want to take this off track any more than it already has gone. To answer very simply: (exogenous) use of steroids (long- or even short-term use, in some) can lead to Iatrogenic Cushings - which shows SIGNS and symptoms of a Cushingoid dog...the adrenals may even temporarily atrophy due to under-use bc they're not being asked to produce as much steroid (ie, cortisol). That said, Iatrogenic Cushings will often resolve once the medication is just discontinued, be then the adrenals take over again.
So yes, I.Cushings (and symptoms/signs) should be kept in mind and should be a concern -- but my
real point was - it should not be just thought of as "CUSHINGS" - bc
not only is that medically incorrect - but if given that incorrect diagnosis, that dog could then be prescribed a CHEMO drug to treat "Cushings" -- which it doesn't actually even have. Iatrogenic Cushings is
completely different in both cause and treatment approach.
Do you see what I'm trying to get at here?
Moving on, if more info is needed about Cushings - we do need a different thread, please, bc that above ^^^ is just the tip of the iceberg, in terms of Cushings and all its derivatives/types.