Diseases and disorders by system
Skeletal and muscular disorders
- Osteoarthritis*, also known as degenerative arthritis, is a common condition in dogs characterized by progressive deterioration of articular cartilage in the joints of the limbs. It can cause a great deal of pain and lameness. Treatment options include medications such as NSAIDs, corticosteroids, and joint fluid modifiers such as glycosaminoglycans. Other treatments include surgery, massage, warm compresses, chiropractic, and acupuncture.[35]
- Hip dysplasia is an inherited disease in dogs that is characterized by abnormal development of the acetabulum and head of the femur. It is more common in large breeds.[6]
- Elbow dysplasia is a condition found more commonly in large breeds. It incorporates several different hereditary conditions of the elbow, including osteochondritis of the medial condyle of the humerus, fragmentation of the medial coronoid process of the ulna, and ununited anconeal process of the ulna.[6]
- Luxating patella is a medial or lateral displacement of the patella, or kneecap. It is strongly suspected to be inherited, but can also result from trauma.[36] It is more common in smaller breeds of dogs [1]
- Osteochondritis dissecans (OCD) is separation of immature articular cartilage from underlying bone. It is caused by osteochondrosis, which is characterized by abnormal endochondral ossification of epiphyseal cartilage. It is most commonly seen in the stifle, elbow, shoulder, and hock.[37]
- Panosteitis is a common disease of unknown cause that causes pain and a shifting leg lameness in medium and large breed dogs. It affects the long bones of the hind and forelimbs.[38]
- Legg–Calvé–Perthes syndrome, also known as Perthes disease or avascular necrosis of the femoral head, is characterized by a deformity of the head of the femur and hip pain. It occurs in small-breed puppies.[6]
- Back pain* in dogs, particularly in long-backed breeds, such as Basset Hounds and Dachshunds, is usually caused by intervertebral disk disease. It is caused by degeneration and protrusion of the disk and compression of the spinal cord. It occurs most commonly in the cervical and thoracolumbar regions. Signs include back pain, hind limb weakness, and paralysis.[39]
- Congenital vertebral anomalies, including butterfly, block, and transitional vertebrae, and hemivertebrae, are a collection of malformations of the spine in animals. Most are not clinically significant, but they can cause compression of the spinal cord by deforming the vertebral canal or causing instability.[6]
- Craniomandibular osteopathy is a hereditary disease in West Highland White Terriers and also occurs in other terrier breeds. It is a developmental disease in puppies causing extensive bony changes in the mandible and skull. Signs include pain upon opening the mouth.[40]
- Hypertrophic osteopathy is a bone disease secondary to disease in the lungs. It is characterized by new bone formation on the outside of the long bones.[6]
- Hypertrophic osteodystrophy is a bone disease in rapidly growing large breed dogs. Signs include swelling of the metaphysis (the part of the bone adjacent to the joint), pain, depression, loss of appetite, and fever. The disease is usually bilateral in the limb bones.[41]
- Spondylosis*, known as spondylosis deformans in dogs, is growth of osteophytes on the ventral and lateral surfaces of the vertebral bodies. It is usually an incidental finding on radiographs and rarely causes symptoms.[39]
- Masticatory muscle myositis (MMM) is an inflammatory disease in dogs affecting the muscles of the jaw. Signs include swelling of the jaw muscles and pain on opening the mouth. In chronic MMM there is atrophy of the jaw muscles, and scarring of the masticatory muscles due to fibrosis may result in inability to open the mouth (trismus).[6]
Cardiovascular and circulatory
- Platelet disorders
- von Willebrand disease* is a common inherited disease in dogs caused by a deficiency of a protein called von Willebrand factor, which is involved in blood clotting. The disease varies from mild to severe, depending on the amount of von Willebrand factor present in the dog. Signs include spontaneous bleeding and excessive bleeding following surgery, injury, or during an estrous cycle.[42]
- Thrombocytopenia* is a common condition in dogs characterized by low platelet counts. Platelets are used in clotting the blood, so dogs with this condition may have spontaneous bleeding or prolonged bleeding following surgery, injury, or during an estrous cycle. Causes include some rickettsial infections such as ehrlichiosis, cancers such as hemangiosarcoma, or immune-mediated disease.[43]
- Thrombocytosis* is a condition characterized by an excess of platelets. Most cases are physiologic (caused by exercise) or reactive (secondary to some cancers, blood loss, or certain drugs). Rarely the condition is caused by a primary bone marrow disorder. In this last case, the platelets may not function normally, causing the blood to not clot properly.[44]
- Hemolytic anemia* is a type of regenerative anemia found in dogs characterized by destruction of the red blood cell. The most important type is immune-mediated hemolytic anemia, which can be a primary disease or secondary to cancer, infection, drugs, or vaccinations. Antibodies are present on the cell surface, leading to lysis and severe anemia. Other causes of hemolytic lesion include hypophosphatemia, exposure to toxins such as lead, infections such as ehrlichiosis or babesiosis, and rarely, neonatal isoerythrolysis.[45] The behavioral condition pica, especially when involving the eating of concrete dust, tile grout, or sand, may be a sign of hemolytic anemia, indicating the need for a complete blood count to investigate a possible diagnosis.[46][47]
- Heart diseases
- Degenerative (myxomatous) mitral valve disease* is a common cause of congestive heart failure in dogs, especially small, older dogs.[48] The leaflets of the valve become thickened and nodular, leading to mitral valve regurgitation and volume overload of the left side of the heart. Cavalier King Charles Spaniels and Dachshunds have an inherited form of this disease.[49]
- Dilated cardiomyopathy (DCM) is a disease of heart muscle resulting in decreased myocardial contractility. The left ventricle compensates for this disease by growing larger (eccentric or volume overload hypertrophy; AKA dilation). The left atrial is also dilated when the disease is severe. It is seen in large/giant dog breeds such as Boxers, Great Danes, and Doberman Pinschers. It is usually idiopathic, but can also be caused by taurine deficiency in American Cocker Spaniels or doxorubicin use. A mutation in the gene that encodes for pyruvate dehydrogenase kinase 4 is associated with DCM in Doberman Pinschers in the USA.[50] Dilated cardiomyopathy usually ultimately results in congestive heart failure. Atrial fibrillation is common in giant breed dogs with DCM. Doberman Pinschers more commonly have ventricular arrhythmias (e.g., premature ventricular complexes; ventricular tachycardia) that predispose them to sudden death (i.e., ventricular fibrillation).[49]
- Congestive heart failure* is the result of any severe, overwhelming heart disease that most commonly results in pulmonary edema (fluid in the lungs), pleural effusion (fluid around the lungs), and/or ascites (fluid in the abdomen). It can be caused by the above two diseases, congenital heart defects such as patent ductus arteriosus, pulmonary hypertension, heartworm (Dirofilaria immitis) disease, or pericardial effusion. Signs depend on which side of the heart is affected. Left-sided heart failure results in rapid and/or difficulty breathing and sometimes coughing from a build-up of fluid in the lungs (pulmonary edema). Right-sided heart failure results in a large liver (congestion) and build-up of fluid in the abdomen (ascites), uncommonly fluid around the lungs (pleural effusion), or, rarely, peripheral edema.[51]
- Sick sinus syndrome* is most commonly seen in female Miniature Schnauzers. It is characterized by sinoatrial node dysfunction and may include atrioventricular node disease and bundle branch block. Electrocardiogram findings include sinus bradycardia, sinus arrest, sinoatrial heart block, and atrial tachycardia. The major clinical sign is fainting (syncope).[49]
- Heart defects
- Subvalvular aortic stenosis (Subaortic stenosis; SAS) is a congenital disease in dogs characterized by left ventricular outflow tract obstruction by a discrete ring or tunnel of fibrous tissue immediately below the aortic valve. It is inherited in Newfoundlands, and also found in Golden Retrievers, Rottweilers, Boxers, Bulldogs, German Shepherds, and Samoyeds. Signs include a left basilar systolic heart murmur, weak femoral pulse, fainting and exercise intolerance. Dogs with severe SAS are predisposed to dying suddenly.[49]
- Pulmonic stenosis* is a congenital heart disease in dogs characterized by right ventricular outflow tract obstruction. Most commonly the narrowing occurs at the pulmonary valve but it can also occur below the valve (subvalvular) or above the valve (supravalvular). The most commonly affected breeds include terriers, Bulldogs, Miniature Schnauzers, Chihuahuas, Samoyeds, Beagles, Keeshonds, Mastiffs, and Bullmastiffs. Signs may include exercise intolerance, but often there is only a heart murmur.[49]
- Ventricular septal defect* is a hole in the division between the heart ventricles (interventricular septum). It is a congenital heart disease in dogs. There usually are no signs in dogs except for a heart murmur. However, a large defect can result in heart failure or in pulmonary hypertension leading to a right-to-left shunt.[49]
- Atrial septal defect* is a hole in the division between the heart atria (upper chambers of the heart). It is an uncommon abnormality in dogs. Most are not clinically significant, but large defects can cause right heart failure and exercise intolerance. Standard Poodles are the most common breed diagnosed with ASD in the USA.[49]
- Tetralogy of Fallot* is a congenital heart defect in dogs that includes four separate defects: pulmonic stenosis, a ventricular septal defect, right ventricular hypertrophy, and an overriding aorta. Keeshonds and Bulldogs are predisposed. Signs include cyanosis and exercise intolerance. Polycythemia is often present and, if severe, needs to be controlled with phlebotomy or drugs to suppress red blood cell production.[49]
- Patent ductus arteriosus* is one of the most common congenital heart defect in dogs around the world. It is inherited in toy and miniature Poodles, and seen commonly in German Shepherds, Pomeranians, Bichon Frises, and Malteses. Signs include a continuous heart murmur, bounding (strong) femoral pulse, tachypnea (increased breathing rate), dyspnea (labored breathing), and exercise intolerance.[49]
- Heart valve dysplasia (including mitral and tricuspid valve dysplasia) is a congenital heart abnormality in dogs. Dysplasia of the mitral and tricuspid valves - also known as the atrioventricular (AV) valves - can appear as thickened, shortened, or notched valves. Chordae tendineae are also usually abnormal.[49]
- Cor triatriatum*, specifically cor triatriatum dexter, occurs in dogs and is characterized by a fibrous division of the right atrium into two chambers, usually with a hole in between them. It results in right heart failure (ascites). It can be treated by balloon valvuloplasty or surgical resection.[52]
- Pericardial effusion* is a collection of fluid in the pericardium. It is usually serosanguinous (bloody fluid). Serosanguinous accumulation can be caused by cancer, usually hemangiosarcoma or a heart base tumor, idiopathic pericarditis. Rare causes include trauma, clotting disorders, and left atrial rupture. Serous accumulation is rare and caused by heart failure, peritoneopericardial diaphragmatic hernias, uremia, pericardial cysts, or hypoalbuminemia. Rarely pericardial effusion can be caused by infection and consist of pus. An echocardiogram should be done prior to draining the fluid, if possible, to identify the cause (e.g., tumor). Drainage of the fluid (pericardiocentesis) relieves the clinical signs and, in the case of idiopathic pericarditis, can be curative.[49]
- Pulmonary hypertension* is high pressure in the pulmonary artery. In dogs it can be caused by heartworm disease, pulmonary thromboembolism, or chronic hypoxemia (low oxygen). It can result in right-sided heart disease (cor pulmonale). Signs include difficulty breathing, cyanosis, and exercise intolerance.[49]
- Trapped Neutrophil Syndrome* is an autosomal recessive disease which results in mature neutrophils being unable to migrate from the bone marrow into the blood. Affected pups have chronic infections and fail to thrive. Other symptoms can include stunted growth and a ferret like facial appearance.[53] The disease is common in Border collies.[54]
Nervous system
- Syringomyelia* is a condition where a fluid filled sac develops in the spinal cord. The most important cause in dogs is by a Chiari I malformation, which is when an underdeveloped occipital bone interferes with spinal fluid circulation and results in fluid accumulation in the cervical spinal cord. This is a congenital disease most commonly found in small breeds such as the Brussels Griffon and the Cavalier King Charles Spaniel. Other breeds known to be affected include the Bichon Frise, Boston terrier, bull terrier, Chihuahua, French bulldog, Havanese, King Charles spaniel (the English toy spaniel), Maltese, miniature dachshunds, miniature and toy poodles, Papillon, Pomeranian, Pugs, Shih Tzu, Staffordshire bull terrier, and the Yorkshire terrier. Signs may include ataxia, weakness, and neck pain.[55]
- Epilepsy in dogs can be a primary, idiopathic, inherited disorder or secondary to previous head trauma or CNS infections. Idiopathic epilepsy is commonly found in breeds such as German Shepherd Dogs, Beagles, and Dachshunds. The most common sign recurring generalized seizures beginning at a young adult age.[56]
- Rage syndrome is a rare inherited seizure disorder characterized by explosive aggression and focal neurologic symptoms. It is associated with English Springer Spaniels, English Cocker Spaniels, and Belgian Malinois, and a genetic polymorphism has been linked to the condition in Malinois. Seizures occur in the temporal lobe. It is treatable with Phenobarbital and supportive antiepileptics.[57]
- Cerebellar hypoplasia is an incomplete development of the cerebellum. The most common cause in dogs is an in utero infection with canine herpesvirus.[56] It is also seen associated with lissencephaly in Wire-haired Fox Terriers and Irish Setters, and as a separate condition in Chow Chows.[58]
- Polyneuropathy is a collection of peripheral nerve disorders that often are breed-related in dogs. Polyneuropathy indicates that multiple nerves are involved, unlike mononeuropathy. Polyneuropathy usually involves motor nerve dysfunction, also known as lower motor neuron disease.
- Canine cognitive dysfunction is a progressive disease occurring in older dogs, which is similar to the dementia which occurs in humans with Alzheimer's disease.[59]
- Scotty Cramp is a disease in Scottish Terriers causing spasms and hyperflexion and hyperextension of the legs. It is caused by a disorder in serotonin metabolism that causes a deficiency of available serotonin.[6]
- Cauda equina syndrome*, also known as degenerative lumbosacral stenosis, in dogs is a compression of the cauda equina by a narrowing of the lumbosacral vertebral canal. It is most commonly seen in German Shepherd Dogs. Signs include pain, weakness, and rear limb muscle atrophy.[60]
- Coonhound paralysis is a type of polyradiculoneuritis seen in Coonhounds. The cause has been related to a raccoon bite. Signs include rear leg weakness progressing rapidly to paralysis, and decreased reflexes.[6]
- Tick paralysis* is a disease in dogs caused by a neurotoxin found in the saliva of female ticks. Dermacentor species predominate as a cause in North America, while Ixodes mainly causes the disease in Australia. There is a gradual onset of signs, which include incoordination progressing to paralysis, changed voice, and difficulty eating.[56]
- Dancing Dobermann disease is a type of myopathy that primarily affects the gastrocnemius muscle in Dobermanns. It usually starts between the ages of 6 and 7 months. One rear leg will flex while standing. Over the next few months it will begin to affect the other rear leg.[6]
- Granulomatous meningoencephalitis (GME) (including Pug Dog encephalitis and other noninfectious causes of meningoencephalitis) is an inflammatory disease of the central nervous system of dogs. It is a form of meningoencephalitis. The disease is more common in female toy dogs of young and middle age.
- Facial nerve paralysis* is most commonly caused in dogs by trauma, otitis media, or as an idiopathic condition. Signs include an inability to blink, drooping of the ear, and drooping of the lips on the affected side, although in chronic conditions fibrosis occurs and the ear and lips may appear to be in an abnormal position.[61]
- Laryngeal paralysis is unilateral or bilateral paralysis of the larynx. In dogs it can be congenital, seen in the Bouvier des Flandres, Bull Terrier, Dalmatian, Rottweiler and Huskies, or an acquired, idiopathic disease, seen in older Labrador Retrievers, Golden Retrievers, St. Bernards, and Irish Setters. Signs include change in voice and difficulty breathing.[62]
- White dog shaker syndrome causes full body tremors in small, white dog breeds. It is most common in West Highland White Terriers, Maltese, Bichons, and Poodles.[6]
- Wobbler disease (cervical instability) is a condition of the cervical vertebrae that causes an unsteady gait and weakness in dogs.
- Cerebellar abiotrophy is caused by the death of Purkinje cells in the cerebellum. It results in progressive ataxia beginning at a young age. It is most commonly seen in Kerry Blue Terriers and Gordon Setters.[56]
Eyes
- Eyelid diseases
- Ectropion (eyelid folding outward) is a common condition in dogs, usually affecting the lower lid. Breeds associated with ectropion include the Cocker Spaniel, the St. Bernard, the Bloodhound, and the Basset Hound.[63]
- Entropion (eyelid folding inward) is a common condition in dogs, especially the Chow Chow, Shar Pei, St. Bernard, and Cocker Spaniel. Upper lid entropion involves the eyelashes rubbing on the eye, but the lower lid usually has no eyelashes, so hair rubs on the eye. Surgical correction is used in more severe cases.[63]
- Distichia (including ectopic cilia) is an eyelash that arises from an abnormal spot on the eyelid. Distichiae usually cause no symptoms because the lashes are soft, but they can irritate the eye and cause tearing, squinting, inflammation, and corneal ulcers.[63]
- Chalazion* is a granuloma that forms in the eyelid due to blocked secretions from the meibomian gland. Inflammation of the eyelid may result.[64]
- Trichiasis in dogs is hair from the eyelid growing in the wrong direction and rubbing on the eye, causing irritation. It usually occurs at the lateral upper eyelid, especially in the English Cocker Spaniel.[63]
- Lens diseases
- Cataracts* are an opacity in the lens of the eye. Most cataracts in dogs are caused by a genetic predisposition, but diabetes mellitus is also a common cause.[65] The only effective treatment is surgical removal.[66]
- Lens luxation is a displacement of the lens from its normal position. Terrier breeds are predisposed.[63]
- Nuclear sclerosis is a consistent finding in dogs greater than seven years old. Nuclear sclerosis appears as a bilateral bluish-grey haziness at the nucleus, or center of the lens,[63] and has little effect on vision.[67] This is may be confused with cataracts.[68]
- Retinal diseases
- Progressive retinal atrophy (PRA) is a genetic disease of the retina that occurs bilaterally and is seen in certain breeds of dogs. It causes progressive vision loss culminating in blindness.[63]
- Retinal dysplasia is an eye disease affecting the retina. It is usually a nonprogressive disease and can be caused by viral infections, drugs, vitamin A deficiency, or genetics. Retinal dysplasia is characterized by folds or rosettes (round clumps) of the retinal tissue.[63]
- Sudden acquired retinal degeneration (SARD) is a disease in dogs causing sudden blindness. It can occur in any breed. The cause is unknown, but possibly involves either autoimmune disease, a toxin, or Cushing's disease.[69] Symptoms include sudden permanent blindness, dilated pupils, and loss of the pupillary light reflex.[63]
- Retinal detachment* is caused in dogs by genetic disorders such as retinal dysplasia or Collie eye anomaly, trauma, inflammation or cancer. Reattachment may occur spontaneously or with medical or surgical therapy.[70]
- Corneal diseases
- Corneal dystrophy is a condition characterized by bilateral, noninflammatory opacity of the cornea. It appears as grayish white lines, circles, or clouding of the cornea. Corneal dystrophy can also have a crystalline appearance.[63]
- Corneal ulcer, or ulcerative keratitis, is an inflammatory condition of the cornea involving loss of its outer layer. They are caused by trauma, detergent burns, and infections. Other eye conditions can cause corneal ulcers, such as entropion, distichia, corneal dystrophy, and keratoconjunctivitis sicca.[63]
- Florida keratopathy an eye condition characterized by the presence of multiple spots within both corneas. In the United States, it is found most commonly in the southeastern part of the country.[63]
- Chronic superficial keratitis (pannus) is a form of superficial keratitis, or inflammation of the cornea, found most commonly in German Shepherds, Greyhounds, and Siberian Huskies.[63]
- Collie eye anomaly (CEA) is a congenital, inherited, bilateral eye disease of dogs involving the retina, choroid, and sclera. It can be a mild disease or cause blindness. It is known to occur in Smooth and Rough Collies, Shetland Sheepdogs, Australian Shepherds, Border Collies, and Nova Scotia Duck Tolling Retrievers.[63]
- Cherry eye is the term used to refer to canine nictitans gland prolapse, a common eye condition in various dog breeds where the gland of the third eyelid prolapses and becomes visible.[63]
- Canine glaucoma is an increase of pressure within the eye. It is a common condition in dogs. It can be caused by abnormal development of the drainage angle of the eye, lens luxation, uveitis, or cancer. Cocker Spaniels, Poodles, and Basset Hounds are predisposed.[71]
- Ocular melanosis (OM) is a disease of the eye which in dogs is almost found exclusively in the Cairn Terrier. The disease is caused by an increase of melanocytes in the iris, sclera, and surrounding structures.[63]
- Keratoconjunctivitis sicca (dry eye) is common in dogs. Symptoms include eye redness, a yellow or greenish discharge, ulceration of the cornea, pigmented cornea, and blood vessels on the cornea.[63]
- Vogt–Koyanagi–Harada syndrome is a condition seen in dogs characterized by uveitis (inflammation of the inside of the eye), poliosis (whitening of hair), and vitiligo (loss of pigment in the skin).[63]
- Conjunctivitis* is inflammation of the conjunctiva. In dogs it is most commonly caused by mechanical irritation (such as by entropion, ectropion, or trichiasis), allergies, and keratoconjunctivitis sicca. Any bacterial infection is usually secondary.[72]
- Eye proptosis is a condition resulting in forward displacement and entrapment of the eye from behind by the eyelids. It is a common result of head trauma in dogs. Most commonly it occurs in brachycephalic (short nosed) breeds.[63]
- Horner's syndrome* results from damage to the sympathetic innervation of the eye. Signs include enophthalmos (sunken eye), miosis (small pupil), elevated third eyelid, and ptosis (drooping of the upper eyelid). Usually the syndrome in dogs is idiopathic, but it can also be caused by trauma, tumors, or ear infections.[73]
- Optic neuritis* is inflammation of the optic nerves. In dogs this is most commonly caused by granulomatous meningoencephalitis or infection.[74]
- Persistent pupillary membrane is a condition of the eye involving remnants of a fetal membrane that persist as strands of tissue crossing the pupil.[63]
- Uveitis* is inflammation within the eye. Anterior uveitis (inflammation of the iris and ciliary body) is most common in dogs. The disease is usually immune-mediated in dogs, but may also be caused by trauma, cataracts, infectious canine hepatitis, leptospirosis, ehrlichiosis, or systemic fungal infections.[75]
- Asteroid hyalosis is a degenerative condition of the eye involving small white opacities in the vitreous humor. The cause is unknown.[63]
- Synchysis scintillans is a degenerative condition of the eye resulting in liquified vitreous humor and the accumulation of cholesterol crystals within the vitreous.[63]
- Iris cysts are small hollow structures either attached to the iris of the eye or floating free in the anterior chamber.[63]
- Imperforate lacrimal punctum is a congenital disorder of dogs involving the lack of an opening to the nasolacrimal duct (tear duct) in the conjunctiva.[63]
- Exophthalmos is a normal condition in brachycephalic (short nosed) dog breeds because of the shallow orbit. However, it can lead to keratitis secondary to exposure of the cornea.[63]
Ears
- Ear infections are common in dogs, particularly breeds with hanging ears, such as Beagles, and dogs with narrow ear canals, such as Cocker Spaniels. Other predisposing factors include allergies, ear parasites, and hypothyroidism.[76]
- Deafness* in dogs can be either acquired or congenital. Predisposing factors for acquired deafness include chronic infection, use of certain drugs, and most commonly, age-related changes in the cochlea. Congenital deafness can be genetic, seen sometimes in dogs with merle or white coats, or caused by in utero damage from infections or toxins.[77]
- Fly strike dermatitis occurs at the tip and folds of the ear in dogs. It is caused by bites of the stable fly, Stomoxys calcitrans.[78]
Skin
|
Main article: Dog skin disorders |
- Allergies*
- Atopy* is an allergy to a substance with which the dog is not necessarily in direct contact. It is a type I hypersensitivity to a substance that is inhaled or absorbed through the skin. Up to 10 percent of dogs are affected.[79] It is common in dogs, especially seen in breeds such as Labrador Retrievers, Golden Retrievers, and Shih Tzus. The most common symptom is itching. Affected areas include the underside, the face, the feet, and the ears.[80]
- Flea allergy dermatitis is the most common skin disease of dogs in the United States. It is caused by sensitivity to flea saliva.[81]
- Food allergy* in dogs is commonly manifested as itching, especially of the face, paws, and the underside. Skin testing has proved unreliable, and a trial of a hypoallergenic diet is usually used for diagnosis.[82]
- Follicular dysplasia is a genetic disease of dogs causing alopecia, or hair loss. It is caused by hair follicles that are misfunctioning due to structural abnormality.[34]
- Dermoid sinus a genetic, autosomal skin condition in dogs. It can appear as single or multiple lumps on the dorsal midline.[34]
- Lick granuloma also known as acral lick dermatitis, is a skin disorder in dogs resulting from an urge to lick the lower portion of the leg. The lesion from the incessant licking is a thickened, firm, oval plaque.[34]
- Pemphigus is an uncommon autoimmune skin disease. The most common form in dogs is pemphigus foliaceus, which manifests as erosions and crusting of the skin and mucocutaneous junctions. Pemphigus vulgaris is more rare and manifests as blister-like lesions in the mouth and at mucocutaneous junctions. Bullous pemphigoid is most commonly seen in Dobermanns and Collies and appears as a scald-like lesion of the groin.[83]
- Sebaceous adenitis is an uncommon autoimmune skin disease. Most commonly found in Akitas and Standard Poodles.[84]
- Dermal fragility syndrome, also known as Ehlers–Danlos-like syndrome, is a rare condition in dogs characterized by increased skin elasticity and poor wound healing. There appears to be a genetic basis for the disease.[85]
- Discoid lupus erythematosus is an uncommon autoimmune disease of the skin in dogs. It does not progress to systemic lupus erythematosus in dogs. The most common initial symptom is scaling and loss of pigment on the nose.[34]
- Juvenile cellulitis, also known as puppy strangles, is a disease that affects puppies. Its cause is unknown, but it is likely to have a hereditary component related to the immune system.[86]
Endocrine diseases
- Diabetes mellitus in dogs is type 1, or insulin dependent diabetes: a lack of insulin production due to destruction of pancreatic beta cells.[87][88][89] Current research indicates no evidence of type 2 diabetes in dogs.[90] Among the causes of diabetes mellitus in dogs are autoimmune disease or severe pancreatitis.[91] Forms of diabetes which may not be permanent, depending on the amount of damage to the beta cells of the endocrine pancreas,[92] are transient and secondary diabetes. Some causes of transient or secondary diabetes are Cushing's syndrome, glucocorticoid, progestin or other steroid use, and the hormones of pregnancy or heat. In these cases, correcting the primary medical issue may mean a return to non-diabetic status.[91][93][94] Common signs include weight loss, increased drinking and urination, and cataracts. Treatment involves insulin replacement therapy,[95] and use of a diet high in fiber and complex carbohydrates.[96] Oral diabetes medications cannot be used for dogs because none repair or surmount the permanent damage to the beta cells of the pancreas.[88][97][98][99][List entry too long]
- Thyroid diseases, including:
- Hyperthyroidism* is rare in dogs. The most common cause is thyroid carcinoma, a malignant tumor. Signs include weight loss, increased appetite, and enlargement of the thyroid gland.[100]
- Hypothyroidism is the most common endocrine disease in dogs. It can be caused by autoimmune destruction (lymphocytic thyroiditis) or idiopathic atrophy of the thyroid gland.[101] These two causes are responsible for over 95% of the hypothyroidism cases in dogs.[102] Signs include decreased appetite, weight gain, hair loss, dry skin/coat, skin that is cold to the touch, recurring skin infections, and lethargy. The dog may also seek out warm places to lie. The symptoms of hypothyroidism are shared with many other medical conditions; it may not be the first thought when a diagnosis is made.[103] Symptoms may not appear until 75% or more of the gland is non-functional. In less than 10% of hypothyroidism cases, the problem is not with the thyroid gland itself, but with the pituitary gland in the brain. The pituitary gland produces a thyroid stimulating hormone (TSH);[104] without this hormone to signal the thyroid gland to produce its thyroid hormone, the thyroid gland remains inactive.[102] Treatment is with oral thyroid hormone supplementation.[105][106] Lack of enough iodine in the diet can produce a form of hypothyroidism; without the proper amount of it, the thyroid gland fails to produce enough thyroid hormone.[102] Myxedema coma is a rare but serious aspect of the disease that is a medical emergency.[107]
- Hypoadrenocorticism, also known as Addison's disease, is a reduction of production of glucocorticoids and mineralocorticoids by the adrenal glands. There is more familiarity with the glucocortcoids, such as cortisol; mineralocorticoids control the amount of potassium, salt and water in the body.[108][109][110] It is most commonly caused by destruction of adrenal tissue, probably by autoimmune disease. Signs include increased drinking and urination, vomiting, diarrhea, collapse, shivering and weight loss; at times neither the causes nor symptoms are especially specific.[111][112] Because of this it is sometimes referred to as "the Great Mimic" or "the Great Imitator".[109][113] It is possible not to see any symptoms of the disease until the adrenal cortex is 90% dysfunctional.[114] Addison's can occur when regular steroid use is abruptly discontinued; during their use, the system the adrenal gland does not function at 100%. The system senses sufficient levels of these hormones in the body and does not signal for their production. Tapering the medication off gradually allows them to return to full production after discontinuation.[112][114] About 35% of affected dogs are not diagnosed until they experience an Addisonian crisis, which outwardly appears to be a "classic" shock and is a medical emergency.[107][114] Hyperkalemia[108] can develop and cause severe bradycardia. Only typical Addison's patients have the risk of Addisonian crisis due to the lack of mineralocorticoids.[112] Treatment is with supplementation of mineralocorticoids in daily pills or a monthly injection. The atypical form and the form caused by abrupt withdrawal of steroids do not need mineralocorticoids.[112] Glucocorticoids are usually supplemented with oral prednisone.[115][116][List entry too long]
- Cushing's syndrome, also known as hyperadrenocorticism, is characterized by an increase in glucocorticoids secreted by the adrenal glands. About 85 percent of cases are caused by a tumor in the pituitary gland, while 15 percent are caused by an adrenal tumor. The pituitary gland produces a hormone that signals the adrenal gland to produce cortisol; a tumor can cause it to produce the adrenal-stimulating hormone even when it is not needed.[117][118] Signs include increased appetite, increased drinking and urination, a pot-bellied appearance, muscle weakness, and lethargy.[117] Cushing's can be caused by overuse of steroid medications; in some cases, stopping the medication is enough to solve the problem.[117] Diagnosis can be difficult as there are no tests with both high sensitivity and specificity.[119] Treatments include mitotane, trilostane,[120][121] ketoconazole, or selegiline.[122][123] Surgery is used in some cases of adrenal tumors.[124]
- Diabetes insipidus* in dogs can be central, caused by a lack of antidiuretic hormone (ADH), or nephrogenic, caused by a lack of response of the kidneys to ADH. Neither form is common. Central diabetes insipidus (CDI) is usually idiopathic, but can also be caused by head trauma[125] or tumors of the brain. Nephrogenic diabetes insipidus (NDI) can be primary (hereditary) or secondary (caused by a variety of metabolic[126] and renal diseases, including Cushing's syndrome and pyometra). Because the disease is characterized by an inability to concentrate urine, the most common sign is increased drinking and urinating.[127][128] Treatment of CDI is to use desmopressin, a synthetic analog of ADH. Treatment of NDI is to treat the underlying cause, if any.[129]
- Acromegaly (also known as hypersomatotropism) is a hormonal condition resulting from over-secretion of the growth hormone somatotropin[130] from the pituitary gland.[131] The hormone is responsible for growth from birth to adulthood. Normally in adulthood, the growth plates of the bones close and the secretion of the hormone slows considerably. Because the bone plates close when entering maturity, the continued growth of acromegaly is not of normal proportions.[132] Most dogs with the disease are unspayed females, but the condition can come about with use of medications containing progesterone.[132][133][134][135][136] Acromegaly patients often also have diabetes mellitus.[137][138] There is a transient form of acromegaly which can affect females at the diestrus portion of the reproductive cycle.[126] This condition is brought about by the mammary glands[139] excreting excess growth hormone, which is triggered by progesterone from the ovaries. As with non-transient acromegaly, spaying is necessary.[137] The symptoms can include overgrowth or enlargement of gums with wide spaces between teeth,[132] increased drinking, increased urination, thickening of the skin and skin folds, enlargement of the tongue and excessive panting.[140] Acromegaly is also possible from a somatotroph adenoma.[140] The hormone somatostatin can also be useful in treatment.[141] Since hypothyroidism is connected with the release of excess growth hormone, hypothyroidism can be mistaken for acromegaly.[142]
Gastrointestinal diseases
- Megaesophagus is a disease of the esophagus characterized by low motility and dilation. Most cases in adult dogs are idiopathic. It is the most common cause of regurgitation in dogs. Other causes of megaesophagus include myasthenia gravis, lead poisoning, and Addison's disease.[143]
- Gastric dilatation volvulus, commonly known as bloat, is a serious condition in which the stomach swells with air (gastric dilatation), sometimes twisting on itself (volvulus). Deep-chested breeds are at a higher risk of bloating. Factors that predispose dogs to this condition are intestinal foreign bodies, intestinal cancer, intussusception, and other intestinal diseases. It has a poor prognosis.[144]
- Foreign body is an object foreign to the body that becomes lodged in the gastrointestinal tract (or other part of the dog). Dogs are susceptible to gastrointestinal obstruction due to their ability to swallow relatively large objects and pass them through the esophagus. Foreign bodies most commonly become lodged in the stomach because of the inability to pass through the pyloric sphincter, and in the jejunum.
- Anal fistulae*, known as perianal fistulae in dogs, are most common in German Shepherd Dogs. They are characterized by draining tracts in the skin around the anus. The cause is unknown. Surgical treatment is common, but recently use of cyclosporine in combination with ketoconazole has been shown to be effective.[145]
- Exocrine pancreatic insufficiency is the inability to properly digest food due to a lack of digestive enzymes made by the pancreas. This disease is found frequently in dogs.[6]
- Pancreatitis*, or inflammation of the pancreas, is common in dogs. It is most commonly seen in middle-aged and older overweight dogs. Miniature Schnauzers are predisposed. Contributing factors include diabetes, hyperlipidemia, obesity, and dietary indiscretion. Signs include vomiting, diarrhea, abdominal pain, lethargy, and anorexia.[146]
- Inflammatory bowel disease (IBD)* is a group of diseases in dogs that are idiopathic and characterized by the presence of inflammatory cell infiltrates in the stomach and/or intestinal walls. It is a common condition. Signs include vomiting, diarrhea, and weight loss. Treatment is with dietary modification and use of medications such as corticosteroids, metronidazole, sulfasalazine, and azathioprine.[147]
- Bilious vomiting syndrome is vomiting in response to bile-induced inflammation of the stomach. Bile salts interfere with the gastric mucosal barrier, allowing acid to irritate the stomach lining and cause gastritis.[148]
- Intussusception* is characterized by telescoping of one part of the gastrointestinal tract into another part, forming an obstruction. It is most common in dogs six to eight months old. Surgery is necessary for treatment.[149]
- Lymphangiectasia is an intestinal disease of dogs characterized by chronic diarrhea and loss of proteins such as serum albumin and globulin. It is considered to be a chronic form of protein-losing enteropathy. Breeds commonly affected include the Soft-Coated Wheaten Terrier, Norwegian Lundehund, Basenji, and Yorkshire Terrier.[6]
- Hemorrhagic gastroenteritis is a disease of dogs characterized by sudden vomiting and bloody diarrhea. The symptoms are usually severe and can be fatal if not treated. It is most common in young adult dogs of any breed, but especially small dogs such as the Toy Poodle and Miniature Schnauzer.[6]
- Gallbladder mucocele is a disease whereby the gallbladder becomes extended with bile and mucous, which can lead to the blockage of bile outflow from the liver.[150]
Urinary and reproductive systems
- Kidney diseases
- Fanconi syndrome is a type of renal tubule disease found in Basenjis. Findings include the inability to concentrate urine, and the presence of glucose, protein, and amino acids in the urine.[6]
- Kidney failure[151]* is common in dogs and may be found in acute or chronic forms. It is defined by a loss of function of about 75 percent of the filtration system of the kidney and characterized by azotemia and low specific gravity of the urine.[152] Acute kidney injury can be caused by loss of blood supply, hypercalcemia, or toxins such as ethylene glycol (antifreeze) or aminoglycoside antibiotics[153] (see: ethylene glycol poisoning). Chronic kidney failure can be congenital and/or inherited or caused by cancer, infection, hypertension, glomerulonephritis, amyloidosis, progressive interstitial fibrosis, or any of the causes of acute kidney injury.[154]
- Glomerulonephritis* is the presence of immune complexes in the glomerulus, resulting in leakage of protein into the urine. It can be caused by cancer, heartworm disease, pyometra, rickettsial infection, or systemic lupus erythematosus.[155] It can result in chronic kidney failure, hypoalbuminemia, which can cause ascites and peripheral edema, and nephrotic syndrome, which can cause hypertension or hypercoagulability.[156]
- Familial renal disease is an uncommon cause of kidney failure in young dogs. Most causes are breed-related (familial) and some are inherited.
- Samoyed hereditary glomerulopathy (SHG) is an hereditary noninflammatory disease, of the renal glomeruli occurring in the Samoyed breed of dog. The disease has been shown to be a model for hereditary nephritis (HN) in humans[157]
- Urinary bladder diseases
- Bladder stones or uroliths are common in dogs. The stones form in the urinary bladder in varying size and numbers secondary to infection, dietary influences, and genetics. Types of stones include struvite, calcium oxalate, urate, cystine, calcium phosphate, and silicate. Struvite and calcium oxalate stones are by far the most common.[6]
- Urinary tract infection*, specifically cystitis or bladder infection, is common in dogs and usually caused by bacteria. Signs include blood in the urine (hematuria), difficulty urinating (dysuria), and frequent urination (polyuria).[158] The most common types of bacteria cultured from the urine of dogs with cystitis are E. coli, Staphylococcus spp., Proteus mirabilis, Streptococcus spp., Klebsiella pneumoniae, Pseudomonas aeruginosa, and Enterobacter spp.[159]
- Urinary incontinence* is leakage of urine, usually due to incompetence of the urethral sphincter in adult dogs and ectopic ureter (a congenital condition in which the ureter enters the urinary tract posterior to the urethral sphincter) in puppies. In adult dogs it is most commonly seen in large spayed females. The lack of estrogens in spayed dogs has been linked to development of incontinence. Replacement of estrogens, phenylpropanolamine, and surgery have all been used for treatment.[160]
- Reproductive diseases
- Prostate disease* in dogs includes benign prostatic hyperplasia (BPH), prostatitis (infection of the prostate), cancer, and cysts and abscesses. BPH is the most common and is found in older intact (not neutered) dogs. Signs include blood in the urine and straining to urinate and defecate. Castration is the treatment of choice.[161] Prostatis can be associated with BPH. Bacteria causing prostatitis include E. coli, Staphylococcus spp., Streptococcus spp., and Mycoplasma spp.[162]
- Cryptorchidism is when one the testicles is retained in the abdomen or inguinal canal past a normal stage of development. It is a common occurrence in dogs and is thought to be a sex-limited autosomal recessive trait.[6]
- False pregnancy*, or pseudocyesis, is a common condition in female intact dogs. Signs include swelling of the mammary glands, lactation, not eating, and "mothering" small objects.[163]
- Pyometra is an infection of the uterus. It is a common and potentially fatal condition in dogs. The main risk period for a female is for eight weeks after her peak standing heat (or estrus cycle) has ended.[6]
- Umbilical hernia* is a failure of the umbilical ring of the abdominal wall to close. They are very common and can be caused by genetics or by traction on the umbilical cord or by the cord being cut too close to the body. They are corrected by surgery.[164]
- Inguinal hernia* is a protrusion of abdominal contents through the inguinal canal. They are corrected through surgery.
