Based on my personal experience, common symptoms are skin problems; loss of hair, itching (chest, abdomen, ears and tail), and slightly darkened skin (especially on the abdomen and on the inside of the ears). In addition the dog may appear lazy and unhappy.
The darkened skin stems from a gradual thickening of the skin, or to be more precise, an increase of the layer of dead cells. This is most noticeable on the inner side of the ears, but unfortunately most vets would mistakenly identify this condition as mite. Since many Setters have very sensitive skin, hypothyroidism often would result in an allergic skin reaction as well. Most vets should easily identify the allergic condition, but are less likely to see the real cause of the problems, which is hypothyroidism.
More information about Hypothyroidism:
Thyroidism
The thyroid gland is one of the seven major glands that make up the endocrine system. Endocrine glands produce hormones that are transported by the blood system to all parts of the body. These hormones regulate many of the bodies processes, such as reproduction, growth rate, metabolism, etc. The thyroid gland consists of two lobes and is situated in the neck on either side of the windpipe. It is responsible for the production of the thyroid hormones, Thyroxin (known as T4) and Triiodothyronine (T3). Thyroid hormones regulate the body’s metabolic rate, and as this involves the digestive, circulatory and nervous systems, it becomes obvious that a disorder of the thyroid gland can produce many different clinical signs.
Hypothyroidism
This arises when too little thyroid hormone is produced and circulated in the blood stream. This is caused by inflammation of the gland, autoimmune thyroiditis (which is probably an inherited condition), or the wasting away of the gland itself for reasons at present unknown. In the past it was thought that thyroid problems could be due to an iodine deficient diet (iodine is an essential component of the thyroid hormones). In developed countries, this is unlikely to occur as diets today (for humans as well as dogs) are generally made up of foodstuffs from a variety of sources - not just one area that may have iodine deficient soil. Enlargement of the gland, commonly known as goitre, can be caused by severe iodine deficiency but if this is seen in dogs, a tumor is invariably the cause.
Symptoms
As stated previously, hypothyroidism can produce a large variety of symptoms but the classic signs are:
Dogs of all ages can be affected but it is most common in middle-aged dogs (i.e. 4 years and older). Often, the first an owner will notice is that the dog seems lazy, not as keen to exercise and puts on weight even though the food quantity has been reduced. This weight gain can sometimes be seen on the head, making the skull look broader and the eyebrows heavier. Many owners just think that their pet is "getting old before its time" because often no other signs are noticeable.
Hypothyroid dogs often feel the cold easily and like to spend long periods of time sleeping in a warm spot. Skin and coat conditions are quite common - the most obvious being the loss of coat particularly on the lower part of the tail, giving an impression of a "rat-tail". Generally, the coat looks in poor condition - thin, dry and dead with little or no new coat coming through. Sometimes the skin thickens with an increase in the dark pigmentation giving an "elephant skin" appearance. This can cause the dog to scratch and bite itself and one wonders if the notorious "Setter Itch" could sometimes be caused by an undiagnosed thyroid problem. Severe cases can show muscle weakness including the heart muscles, causing a slowing down of the heart rate. Infertility, varying degrees of paralysis and digestive disorders are also possible.
Diagnosis and medication
Diagnosis of hypothyroidism can be difficult and your vet will take into account the clinical signs and then arrange for tests to measure the amount of the thyroid hormones present in the blood stream. These thyroid hormone levels can vary considerably, even in healthy dogs - younger dogs tend to have higher levels and certain breeds such as greyhounds generally have lower thyroid concentrations.
Fortunately, hypothyroidism can be treated by supplying the dog with thyroxine tablets two times a day. The exact dose of thyroxine needed has to be determined by your vet. The dog must continue with the medication for the rest of his life.
Most owners reported that as soon as the animal was diagnosed and stabilised on thyroxine medication, the standard thyroid symptoms started to reverse and the skin condition either cleared up completely or at least improved tremendously. Long term skin conditions can be notoriously difficult to treat and it may well be worth the small cost of a blood test to check for low level hypothyroidism, even if other clinical signs are not readily visible.
It is also interesting to note that several owners had more than one animal with this condition. However as diet, vaccine or general environmental factors appeared to have no influence on the incidence of this problem, it was felt that after having one affected animal, an owner was more aware of the symptoms and so more likely to arrange for blood tests to confirm their suspicions. As I mentioned, this problem tends to occur in middle-aged animals and many of the symptoms of hypothyroidism can be missed as owners sometimes think that the lethargy, weight gain, etc is just due to their pet getting older.
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