Abstract. A 7-year-old, intact male standard Poodle dog with hypothyroidism and atypical hyperadrenocorticism developed acute signs of lethargy, weakness, inappetence, vomiting, and diarrhea. Clinical signs progressed to hind limb proprioceptive deficits, aggressive behavior with obtundation, and an equivocal seizure. Necropsy revealed a mass in the sellar region that histologically consisted of multinucleated giant cells, macrophages, and hemosiderin-laden macrophages with fewer lymphocytes and plasma cells admixed with large regions of cholesterol cleft deposition, fibrin, and prominent Rosenthal fibers. Pituitary tissue was not identified on gross or histologic examination, but the mass was partially bordered by epithelial cells. The histologic characteristics are similar to changes described in the human medical literature as xanthogranuloma of the sellar region and xanthogranulomatous hypophysitis.Key words: Atypical hyperadrenocorticism; canine; craniopharyngioma; Rathke cleft cyst; xanthogranuloma of the sellar region; xanthogranulomatous hypophysitis. and polydipsia. 6 Neurologic deficits might include proprioceptive deficits, 6 circling, 6,24 and cranial nerve deficits, particularly related to compression of the optic chiasm. 16,18,22,24 Last, endocrine disease might manifest as hypothyroidism or diabetes insipidus.
16A 7-year-old, intact male standard Poodle dog presented to the Oklahoma State University Boren Veterinary Medical Teaching Hospital (Stillwater, Oklahoma) with a 1-year history of polyuria and polydipsia and a 1-week history of inappetence. The week before, the dog had been diagnosed with hypothyroidism on the basis of decreased total thyroxine (T4), and treatment with levothyroxine (0.01 mg/kg every 12 hr) had been instituted.Other than mild lumbosacral pain, physical examination findings were within normal limits. Because inappetence had coincided with initiation of thyroid supplementation, and euthyroid-sick syndrome was a differential diagnosis, treatment was discontinued to allow for future reassess- At the 1-month recheck appointment, the dog exhibited hair loss and lethargy consistent with previously diagnosed hypothyroidism. Repeat thyroid testing revealed a low free T4 (4.8, ref. interval: 8-40 pmol/l) with normal thyroidstimulating hormone and T4. Hypercholesterolemia had increased (435 mg/dl). Thyroid supplementation was reinstituted (levothyroxine, 0.02 mg/kg every 12 hr).Concurrently, to address the abnormal ACTH stimulation results seen on initial presentation, low-dose dexamethasone suppression testing was performed. Results were within normal limits, making typical hyperadrenocorticism less likely. Because of the persistent polyuria and polydipsia, additional tests were performed to assess other adrenocortical hormone levels. After exogenous ACTH stimulation, there were elevations in cortisol (191.8, ref. interval: 70.6-161.2 ng/ml), progesterone (6.57, ref. interval: 0.22-1.45 ng/ml), 17-OH progesterone (5.31, ref.interval: 0.25-2.63 ng/ml), and aldosterone (458.7, ref. ...