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How to Navigate Concurrent Endocrine and Dermatology Conditions in Pets

Update Key Insights on Concurrent Endocrine and Dermatologic Conditions in Pets Veterinary professionals are increasingly faced with the challenge of diagnosing and managing concurrent endocrine and dermatologic conditions in their canine patients. During the 2026 Veterinary Meeting & Expo (VMX), Christina Gentry, DVM, DACVD, provided attendees with invaluable insights into this intricate relationship, emphasizing the importance of a careful diagnostic approach. Understanding the Symptoms Many dogs suffering from endocrine disorders, such as hypothyroidism and hypercortisolism (Cushing's disease), may present with dermatological symptoms. For instance, hypothyroidism often leads to non-inflamed wear and tear alopecia where hair fails to regrow after loss. In contrast, those with hypercortisolism often show symptoms like truncal hair loss and skin infections, sometimes misinterpreted as allergies due to their itchy nature. Gentry points out that the initial presentation to a veterinarian could occur in two ways: a dog might show systemic signs like lethargy and excessive thirst, prompting a visit to an internist, or it might display skin changes, leading to a consultation with a dermatologist. This bifurcation is crucial for Vets to understand, as it can affect the entire course of diagnosis and treatment. The Impact of Concurrent Infections The presence of secondary infections complicates the diagnostic process. For example, when skin infections arise, they may obscure the underlying endocrine issue. Veterinary professionals need to be cautious; resolving the infection doesn't necessarily alleviate the symptoms related to the endocrine problem. Identifying and testing for endocrine issues while mitigating these secondary conditions can be challenging but essential for effective treatment. This diagnosis often requires careful interpretation of screenings to avoid false positives and develop an accurate understanding of the animal's health. Preparing for the Future: Improved Recognition Rates As the veterinary field continues to evolve, it is likely that concurrent endocrine diseases will be recognized with increasing frequency. According to recent studies, while the combined occurrence of conditions like diabetes mellitus and hyperadrenocorticism in dogs is uncommon, awareness and improved diagnostic capabilities suggest a trajectory towards better detection and management. Improvements in veterinary diagnostic technologies, including endocrine testing and imaging, will allow vets to make informed decisions based on thorough evaluations, potentially leading to better outcomes for patients. Awareness of these conditions can also enhance pet owners' understanding, ultimately influencing their pet care decisions. Actionable Insights for Veterinary Practices Veterinarians must adopt a holistic approach in management scenarios where endocrine and dermatological diseases intersect. Continuous education and staying abreast of the latest veterinary advancements will equip practitioners with effective diagnostic tools. Practices can also strengthen client communication, enhancing clients' understanding of concurrent conditions to encourage proactivity in seeking veterinary health care. For those in the veterinary field, the knowledge gained from this lecture is not just an academic exercise; it's a gateway to better practice, improved clinical outcomes, and greater client satisfaction. By fostering an environment of ongoing education about concurrent endocrine and dermatological diseases, both veterinary practitioners and pet owners can work towards a healthier future for our canine companions.