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INVESTIGATIONS INTO HYPERLIPIDEMIA AND ITS POSSIBLE ...

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12<br />

Endocrine disease<br />

Most commonly, canine hyperlipidemia is the result of an endocrine disorder,<br />

such as hypothyroidism, diabetes mellitus, or hyperadrenocorticism. 21,31,37,49,51,52<br />

Increases of both serum triglyceride and cholesterol concentrations have been reported in<br />

dogs with hypothyroidism. 21,53-56 In 1 study, hypertriglyceridemia and<br />

hypercholesterolemia were found in 88% and 78% of dogs with hypothyroidism,<br />

respectively. 53 Usually, lipid abnormalities resolve after treatment of hypothyroidism. 21<br />

In dogs with diabetes mellitus, hyperlipidemia is most commonly associated with<br />

hypertriglyceridemia, but hypercholesterolemia can also occur. 21,31,49,51,54,57<br />

Hypertriglyceridemia usually resolves after successful management of diabetes mellitus,<br />

but hypercholesterolemia might persist despite therapy. 49,58<br />

Finally, both naturally<br />

occurring hyperadrenocorticism and iatrogenic Cushing’s disease have been associated<br />

with hyperlipidemia (hypertriglyceridemia and/or hypercholesterolemia) in<br />

dogs. 31,37,49,51,54,59,60<br />

Hypertriglyceridemia might be present more frequently than<br />

hypercholesterolemia and increases of both types of lipids are usually mild or<br />

moderate. 31,37,51<br />

Pancreatitis<br />

The presence of hyperlipidemia (hypertriglyceridemia and/or<br />

hypercholesterolemia) has long been associated with naturally occurring pancreatitis in<br />

dogs. 21,31,37,49,52,61-66 However, it remains uncertain whether hyperlipidemia develops as a<br />

result of pancreatitis or can be the cause of pancreatitis in some cases. 49,66 In models of

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