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What is Cushing’s
Disease (Pars Intermedia Dysfunction)?
Equine Cushing’s disease results from a malfunction
of the pituitary gland (a part of the brain) more specifically
the pars intermedia hence the name pars intermedia dysfunction. The
pituitary gland over-secretes certain hormones that result in
the common clinical signs seen with the disease. Cushing’s
Disease is very common and occurs in older horses.
Common clinical signs seem with
Cushing’s
Disease include: a long, shaggy haircoat, an abnormal shedding
pattern, such as retention of long hairs in the jugular grove,
on legs, along the bottom of the abdomen, delayed shedding in
the spring or early coat development prior to winter. Other
clinical signs include: decreased activity level, laminitis,
increased thirst, increased urination, excessive sweating, increased
susceptibility to infections, loss of muscle mass and abnormal
deposition of fats. Some other signs include a decrease
in appetite with subsequent weight loss, a potbelly appearance
and bulging supraorbital fat pads (bulges just above the eyes).
Cushing’s
Disease is diagnosed via a blood test to evaluate if there is
an overproduction of the hormones that are responsible for the
clinical signs. The disease is non-curable but can be managed
with lifelong medications such as pergolide. Pergolide
suppresses the overproduction of the hormones and can reverse
some if not most of the clinical signs as long as the horse is
on the medication. In addition, secondary problems that
may have developed such as laminitis or infections must be also
treated with assistance of your veterinarian & farrier.
If your horse is 15 years old or older than
you may want to consider having a Cushing’s Disease screening
test performed especially if any of the clinical signs above are
present. Our clinic has a geriatric wellness program in place
that evaluates for Cushing’s Disease along with other diseases/ailments
that are common among older horses. The screening test should
be performed in the spring or summer months and should be performed
every 1-2 years to prevent secondary problems such as laminitis
from occurring. In addition, if your horse has been previously
diagnosed with Cushing’s Disease it is recommended to have
a blood test performed every 6-12 months during the spring or summer
months to ensure that your horse is on the most appropriate amount
of medications. |