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Acromegaly

Acromegaly is the over-secretion of growth hormone, typically from a pituitary tumor. It causes insulin resistance and is an important cause of hard-to-regulate diabetes-mellitus in cats.

Key Facts

  • Cats: caused by growth hormone-secreting pituitary tumor; over 90% of affected cats are male
  • Dogs: usually caused by excess progesterone (ovarian cysts); typically older unspayed females
  • Growth hormone interferes with tissue insulin receptors, causing insulin resistance
  • Visual clues: jaw enlargement, gum tissue proliferation, head broadening
  • Diagnosis: IGF-1 assay (insulin-like growth factor-1) is more reliable than growth hormone level
  • Definitive diagnosis via CT or MRI of the pituitary gland
  • Treatment: radiotherapy of pituitary tumor (difficult; research ongoing)
  • In dogs, spaying may be curative
  • More common than previously thought; should be considered in any insulin-resistant diabetic cat
  • Species: dogs and cats

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