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Point-Of-Care in-house thyroid testing - IDEXX Laboratories

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4<br />

Commentary<br />

Can<strong>in</strong>e hypo<strong>thyroid</strong>ism and fel<strong>in</strong>e hyper<strong>thyroid</strong>ism are two of the most common endocr<strong>in</strong>e disorders<br />

seen <strong>in</strong> small animal practice. Because <strong>thyroid</strong> disorders typically respond well to therapy<br />

and have a good prognosis, it is important for the practitioner to be aware of both common and<br />

uncommon cl<strong>in</strong>ical signs and to rout<strong>in</strong>ely screen patients with suspected or potential disease.<br />

Serum total thyrox<strong>in</strong>e (T 4 ) concentrations commonly used for screen<strong>in</strong>g and therapeutic monitor<strong>in</strong>g<br />

are rout<strong>in</strong>ely offered by diagnostic laboratories us<strong>in</strong>g a radioimmunoassay or chemilum<strong>in</strong>escence test. The<br />

availability of an <strong>in</strong>-<strong>house</strong> T 4 test<strong>in</strong>g system can offer a convenient, cost-effective alternative. This study showed generally<br />

good correlation between the various methodologies and it appears that any of them, <strong>in</strong>clud<strong>in</strong>g the <strong>IDEXX</strong><br />

SNAP ® T 4 <strong>in</strong>-<strong>house</strong> test, is appropriate, dependable, and <strong>in</strong>dicated. It must be remembered that with any test, false<br />

negative and false positive results can occur for any number of reasons, and that results must be <strong>in</strong>terpreted <strong>in</strong><br />

light of the patient’s history, cl<strong>in</strong>ical signs, and other laboratory f<strong>in</strong>d<strong>in</strong>gs. — Peter P. K<strong>in</strong>tzer, DVM, DACVIM, Staff<br />

Internist, Boston Road Animal Hospital, Spr<strong>in</strong>gfield, Massachusetts<br />

SUGGESTED READING<br />

Can<strong>in</strong>e hypo<strong>thyroid</strong>ism. Dixon RM. BSAVA<br />

Manual of Can<strong>in</strong>e and Fel<strong>in</strong>e Endocr<strong>in</strong>ology,<br />

3rd ed. Mooney CT, Peterson ME. Gloucester,<br />

UK: BSAVA Publications, 2004, pp 76-94.<br />

Fel<strong>in</strong>e hyper<strong>thyroid</strong>ism. Mooney CT, Peterson<br />

ME. BSAVA Manual of Can<strong>in</strong>e and Fel<strong>in</strong>e<br />

Endocr<strong>in</strong>ology, 3rd ed. Mooney CT, Peterson<br />

ME. Gloucester, UK: BSAVA Publications, 2004,<br />

pp 95-111.<br />

Hypo<strong>thyroid</strong>ism. Feldman EC, Nelson RW.<br />

Can<strong>in</strong>e and Fel<strong>in</strong>e Endocr<strong>in</strong>ology and<br />

Reproduction (3rd ed). Feldman EC, Nelson<br />

RW. Philadelphia: WB Saunders Co, 2004, pp<br />

86-151.<br />

Measurement of serum concentrations of free<br />

thyrox<strong>in</strong>e, total thyrox<strong>in</strong>e, and total<br />

triiodothyron<strong>in</strong>e <strong>in</strong> cats with hyper<strong>thyroid</strong>ism<br />

and cats with non<strong>thyroid</strong>al disease. Peterson<br />

ME, Melian C, Nichols R. JAVMA 218:529-536,<br />

2001.<br />

© 2007 Educational Concepts<br />

<strong>IDEXX</strong> Product Profile<br />

<strong>IDEXX</strong> SNAP ® Reader<br />

■ Only <strong>in</strong>-<strong>house</strong> <strong>in</strong>strument that tests T 4, cortisol, &<br />

bile acids<br />

■ Easy to use<br />

■ Attaches to top of <strong>IDEXX</strong> VetTest ® Chemistry<br />

Analyzer, so no additional bench space needed<br />

■ Cost effective<br />

<strong>IDEXX</strong> SNAP ® T 4 test<br />

■ Diagnoses <strong>thyroid</strong><br />

disease<br />

■ Assesses geriatric<br />

preanesthetic cats<br />

■ Provides<br />

comprehensive, onevisit<br />

screen<strong>in</strong>g for cats, dogs, and horses<br />

■ Monitors response to treatment for immediate<br />

dosage adjustment<br />

This research summary is sponsored by an educational grant from <strong>IDEXX</strong> Corporation.<br />

09-65881-00<br />

c l i n i c a l a p p l i c a t i o n s

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