Dysfunctions of the Adrenal Cortex Flashcards
Affected animals develop a peculiar redistribution of body fat and have potbellied appearance
Hyperadrenocorticism
Hyperadrenocorticism
Characterized by hypersecretion of GCCs
-Can be primary or secondary
-Seen in cats, rare in horses and other species
Hyperadrenocorticism
Accounts for 15% of all cases in dogs and 20% of all cases in cats, caused by adenomas or carcinomas of the adrenal cortex
Primary Hyperadrenocorticism
Primary Hyperadrenocorticism:
Atrophy of the corticotropes is seen due to_________
inhibitory effects of GCCs
Secondary hyperadrenocorticism:
Accounts for 85% of all cases in dogs caused by
- Functional tumors
- Hyperplasia of ACTH-producing cells of the adenohypophysis
Secondary hyperadrenocorticism:
In cats (80% of cases), the disease is primarily due to __________
neoplasms of the adenohypophysis
Due to prolonged and careless GCC use
Iatrogenic Hyperadrenocorticism
Most common form of hypoadrenocorticism, characterized by deficiency in GCC and MCC production due to atrophy or destruction of the zona fasciculata and zone reticularis, or all three cortical zones
Primary hypoadrenocorticism
Iatrogenic Hyperadrenocorticism:
Sudden removal of exogenous GCCs causes atrophy of adrenal cortex and corticotropes of the adenohypophysis, eventually leading to _______
hypoadrenocorticism
Rare, caused by ACTH hyposecretion causing atrophy of ZF and ZR
Secondary hypoadrenocorticism
Follows after iatrogenic hyperadrenocorticism
Iatrogenic hypoadrenocorticism