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Old 05-24-2010, 07:43 AM   #18
dwerten
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Join Date: May 2007
Location: USA
Posts: 11,073
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Quote:
Originally Posted by Wylie's Mom View Post
Cushings testing is sort of a process...and not sure if your friend is willing to spend the $, but it should really be done. The first step is the urine cortisol-creatinine-ratio. This test can somewhat conclusively rule OUT Cushings, however, if it is positive - you then have to move to the more conclusive and definitive and expensive testing.

For the urine test, you have to catch the urine at home, bc you want the cortisol (stress hormone) levels to be measured *there*, not at the vet office - where she is super stressed and will produce excess cortisol. It should be first urine of morning--> if she pees on a tile floor, you can suck it up into a clean syringe.

I wonder...is there a reason her current vet has not tested her thyroid and/or for Cushings?
it sounds like they paid for alot of testing from op but who knows what kind of testing

First is does cushings run in pom breed alot as it runs in yorkie breed but not sure on pom breed but i do know alopecia x runs in that breed alot.

Good idea ann as looks like cost is an issue so figuring this out the cheapest way possible for this owner will be good. I know the thyroid panel is not that expensive and would be good to rule it out completely but my gut is this is alopecia x.

I will say the derm just told me with thyroid the dogs hair usually thins out all over but have read it is on the lumbar region but dd had it on neck mostly but she is thin all over too if that helps

Make sure if doing thyroid panel it is all 6 values not just T4

ann do you have any poms on cushings group?

Last edited by dwerten; 05-24-2010 at 07:46 AM.
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