Feline hyperaldosteronism

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Feline hyperaldosteronism

  • 13 yr old fs feline Tortoiseshell with history of vomiting and lethargy
  • Chemistry profile shows hypokalemia (3.2), T4 was wnl
  • aldosterone level is >900
  • abdominal ultrasound shows normal adrenal glands (<4.0mm), mild splenomegaly, prominent, hypoechoic pancreas, and thickened small intestinal muscularis layer
  • What is the most common cause for hyperaldosteronism in cats?  How often is it due to an adrenal tumor?  What are other likely causes besides kidney disease?

 

  • 13 yr old fs feline Tortoiseshell with history of vomiting and lethargy
  • Chemistry profile shows hypokalemia (3.2), T4 was wnl
  • aldosterone level is >900
  • abdominal ultrasound shows normal adrenal glands (<4.0mm), mild splenomegaly, prominent, hypoechoic pancreas, and thickened small intestinal muscularis layer
  • What is the most common cause for hyperaldosteronism in cats?  How often is it due to an adrenal tumor?  What are other likely causes besides kidney disease?

 

Comments

Anonymous

I can”t say I have seen HAD
I can”t say I have seen HAD without an adrenal tumor in a cat. Maybe there is an emerging tumor that isn’t visible yet? Insulinomas can be tiny and functional as can parathyroid tumors so why not aldosterone secreting adrenal tumors? Remo any insight here?

Anonymous

I can”t say I have seen HAD
I can”t say I have seen HAD without an adrenal tumor in a cat. Maybe there is an emerging tumor that isn’t visible yet? Insulinomas can be tiny and functional as can parathyroid tumors so why not aldosterone secreting adrenal tumors? Remo any insight here?

Anonymous

With that level of
With that level of aldosterone a functional adrenal mass is most likely and as it is functional it can be very small in size. The other possibility would be hypovolumia but would have to be severe to push the aldosterone to that level.

Anonymous

With that level of
With that level of aldosterone a functional adrenal mass is most likely and as it is functional it can be very small in size. The other possibility would be hypovolumia but would have to be severe to push the aldosterone to that level.

Anonymous

Thx Remo sounds like a
Thx Remo sounds like a recheck is in order in a couple of weeks to see if something is growing

Anonymous

Thx Remo sounds like a
Thx Remo sounds like a recheck is in order in a couple of weeks to see if something is growing

Anonymous

Ok, thanks!
Ok, thanks!

Anonymous

Ok, thanks!
Ok, thanks!

Anonymous

Follow up ultrasound or CT.
Follow up ultrasound or CT.

Anonymous

Follow up ultrasound or CT.
Follow up ultrasound or CT.

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