A 4-year-old, neutered male European shorthair was presented for evaluation of
right hind limb lameness. Radiographs revealed bilateral femoral capital physeal
fractures, widened vertebral growth plates and constipation. Physical findings
included lethargy, mental dullness, mild hypothermia, retarded growth,
pharyngeal stridor, moderate muscle atrophy of pelvic limbs, hair coat
abnormalities, and lack of defecation and urination. A thyroid panel revealed
thyroid hormone values below detection limits and high thyroid stimulation
hormone values. A presumptive diagnosis of congenital primary hypothyroidism was
made, however also an early onset acquired primary hypothyroidism could not be
ruled out. Results of the insulin-like growth factor (IGF-1) and the parathyroid
hormone as well as an adrenocorticotropic hormone stimulating test were normal.
A bilateral femoral head and neck excision was performed. Levothyroxine
supplementation was started at a dosage of 50 µg (11 µg/kg) BID and later
adjusted to 100 µg (22 µg/kg) BID based on total thyroxine concentrations. The
tomcat showed full clinical recovery and normal clinical behaviour. The case
shows that primary hypothyroidism may be considered in cats presented with
femoral capital physeal fractures.