Name:
Cushing’s Disease
Other Name(s):
Acronym(s):
Severity:
Genetic:
Idiopathic:
Predisposed Breeds:
Onset Age:
Overview
Cushing’s disease, also known as hyperadrenocorticism, is a condition where a dog’s body produces too much cortisol. Cortisol is an important hormone from the adrenal glands, but an excess can cause various health problems. This disease is relatively common in middle-aged to older dogs, especially those over 6 years old. The severity can range from mild to severe, affecting the dog’s overall health and quality of life.
Causes
The primary cause of Cushing’s disease is a tumor on the pituitary gland. This tumor overproduces hormones that stimulate the adrenal glands to produce more cortisol than needed.
Adrenal gland tumors are a secondary cause, directly leading to increased cortisol levels. While less common, they can still significantly affect a dog’s health and require specific treatments.
Long-term use of corticosteroid medications can also induce a condition similar to Cushing’s disease, known as iatrogenic Cushing’s. This occurs when external sources of cortisol cause similar symptoms and complications.
Predisposed Breeds
Breeds predisposed to Cushing’s disease include:
Symptoms
Primary symptoms of Cushing’s disease include increased thirst and urination, leading to frequent bathroom breaks. Dogs may also show a significant increase in appetite and develop a pot-bellied appearance.
Secondary symptoms can involve hair loss, thinning skin, and muscle weakness. These changes may be gradual but are noticeable over time and can affect the dog’s comfort.
Other symptoms such as lethargy, panting, and a higher susceptibility to infections can also occur. These additional signs can complicate the dog’s overall health and require attention.
Cushing’s disease symptoms include:
- Increased thirst and urination
- Increased appetite
- Pot-bellied appearance
- Hair loss
- Thinning skin
- Muscle weakness
- Lethargy
Diagnosis
Diagnosing Cushing’s disease usually involves a combination of blood and urine tests. These tests help measure cortisol levels and detect abnormalities in hormone production.
Imaging studies like ultrasounds or MRIs are often used to assess the adrenal and pituitary glands. These diagnostic tools help identify tumors or other irregularities contributing to the condition.
Cushing’s disease should be differentiated from similar conditions, such as diabetes mellitus, hypothyroidism, and liver disease. Proper diagnosis ensures correct treatment and management plans for the affected dog.
Treatment
Treatment for Cushing’s disease often involves medications like trilostane or mitotane. These drugs help control the overproduction of cortisol and ease the symptoms associated with the condition.
In certain cases, surgery may be necessary to remove adrenal tumors. This option is typically considered when medication alone cannot manage the disease effectively.
Management
Managing Cushing’s disease requires regular veterinary check-ups to monitor cortisol levels. Consistent monitoring helps make sure the treatment plan remains effective and the dog’s health is maintained.
Changes to medication dosages may be needed to manage the disease’s progression. Maintaining a stable lifestyle for the dog, including regular exercise and a balanced diet, is also important.
Prevention
There is no known prevention for Cushing’s disease because of its genetic and spontaneous nature. However, regular health screenings can help in early detection and management of the condition.
Maintaining a healthy lifestyle for your dog can support overall well-being. A balanced diet and regular exercise may help reduce the risk of related health issues.


