PMID- 38032018 OWN - NLM STAT- MEDLINE DCOM- 20240123 LR - 20240202 IS - 1939-1676 (Electronic) IS - 0891-6640 (Print) IS - 0891-6640 (Linking) VI - 38 IP - 1 DP - 2024 Jan-Feb TI - Thyroid function tests during nonthyroidal illness syndrome and recovery in acutely ill dogs. PG - 111-122 LID - 10.1111/jvim.16947 [doi] AB - BACKGROUND: Nonthyroidal illness syndrome (NTIS) can result in thyroid function test alterations that mimic hypothyroidism. The duration of NTIS-induced changes in dogs is not well-described. OBJECTIVES: Document alterations in thyroid function tests during NTIS and recovery, and the time necessary for their resolution. ANIMALS: From 103 dogs sampled, 25 euthyroid dogs with acute, resolvable illness having a low serum total thyroxine (TT4) concentration on admission were analyzed. METHODS: Prospective observational study. Serum TT4 concentration was measured in 103 dogs within 4 hours of admission. If below the reference interval (RI), subsequent serum samples were obtained every 24 hours from admission until discharge (acute phase) and at 2 weeks and 4 weeks after discharge (recovery phase). Serum samples were submitted for batch measurement of serum TT4, free thyroxine (fT4), total 3,5,3'-triiodothyronine (TT3), and thyroid-stimulating hormone (TSH) concentrations. RESULTS: In the cohort of dogs analyzed, serum TT4, TT3, and fT4 concentrations were below the RI in 100%, 80%, and 16% at admission; 20%, 80%, and 0% at discharge; 4%, 8%, and 0% at 2 weeks; and 0%, 0%, and 0% at 4 weeks, respectively. Serum TSH concentration was within the RI in 100% at admission and discharge, and above the RI in 4% and 12% at 2 weeks and 4 weeks, respectively. CONCLUSIONS AND CLINICAL IMPORTANCE: Naturally occurring NTIS in dogs induces alterations in thyroid function tests during acute illness and recovery. Measurement of serum TT4 concentration 2 to 4 weeks after discharge or serum fT4 concentration by ED during illness is recommended for accurate assessment of thyroid function in acutely ill dogs. CI - (c) 2023 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine. FAU - Bolton, Timothy A AU - Bolton TA AUID- ORCID: 0000-0002-5970-6441 AD - Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech University, Blacksburg, Virginia, USA. FAU - Panciera, David L AU - Panciera DL AD - Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech University, Blacksburg, Virginia, USA. FAU - Voudren, Caylie D AU - Voudren CD AD - Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech University, Blacksburg, Virginia, USA. FAU - Crawford-Jennings, Matthew I AU - Crawford-Jennings MI AD - Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Tech University, Blacksburg, Virginia, USA. LA - eng GR - 02686-A/American Kennel Club Canine Health Foundation/ PT - Journal Article PT - Observational Study, Veterinary DEP - 20231130 PL - United States TA - J Vet Intern Med JT - Journal of veterinary internal medicine JID - 8708660 RN - Q51BO43MG4 (Thyroxine) RN - 06LU7C9H1V (Triiodothyronine) RN - 0 (Thyroid Hormones) RN - 9002-71-5 (Thyrotropin) SB - IM MH - Humans MH - Dogs MH - Animals MH - *Thyroid Function Tests/veterinary MH - *Thyroxine MH - Triiodothyronine MH - Thyroid Hormones MH - Thyrotropin PMC - PMC10800236 OTO - NOTNLM OT - dog OT - hypothyroidism OT - normalization OT - sick COIS- Authors declare no conflict of interest. EDAT- 2023/11/30 12:42 MHDA- 2024/01/23 06:42 PMCR- 2023/11/30 CRDT- 2023/11/30 07:13 PHST- 2023/05/01 00:00 [received] PHST- 2023/11/13 00:00 [accepted] PHST- 2024/01/23 06:42 [medline] PHST- 2023/11/30 12:42 [pubmed] PHST- 2023/11/30 07:13 [entrez] PHST- 2023/11/30 00:00 [pmc-release] AID - JVIM16947 [pii] AID - 10.1111/jvim.16947 [doi] PST - ppublish SO - J Vet Intern Med. 2024 Jan-Feb;38(1):111-122. doi: 10.1111/jvim.16947. Epub 2023 Nov 30.