DISEASE SUMMARY PAGE

Hypothyroidism in Bears

Summary Information
Diseases / List of Miscellaneous / Metabolic / Multifactorial Diseases / Disease summary
Alternative Names Goitre.

See also: 

Disease Agents Iodine (deficiency) (P1.1979.w3)
Infectious Agent(s) --
Non-infectious Agent(s)
Physical Agent(s) --
General Description
In Bears

In an adult female grizzly bear (Ursus arctos - Brown bear)

  • Rough coat, development of an ulcerated lesion on the snout, development of generalised skin lesions (alopecia, moist dermatitis) by six months later, and lethargy and weight gain. (J4.157.w3)
  • T3 uptake (measured in blood collected within 20 minutes of euthanasia) was 21% (normal 40-60%). 

In an adult female Ursus americanus - American black bear

  • Lethargy, weight gain (obese), inappetance and patchy alopecia, with hair shafts easily epilated. (J2.35.w1, P1.2002.w5)

In two Ursus maritimus - Polar bears (P1.1979.w3)

  • Low T4 levels and reduced response to a TSH stimulation test was noted in a female and a male polar bear with chronic ulcerative dermatitis (female) and chronic ulcerative pododermatitis (male). (P1.1979.w3)

In Tremarctos ornatus - Spectacled bear, with associated alopecia. (P77.1.w19)

Gross pathology

In an adult female grizzly bear (Ursus arctos - Brown bear)

  • Skin: 
    • Bilaterally symmetrical alopecia. 
    • Over the neck and rump, thickening of the skin. 
    • Diffuse areas of moist dermatitis.
    • Localised pyoderma.
  • Thyroids:
    • Enlarged, 8 x 5 x 3 cm, firm, with a rough, semi-lobulated appearance. On the cut surface, translucent with cystic centres containing 3-5 mL tenacious amber fluid. 
  • Liver:
    • Diffuse areas telangiectasis.
    • Gall bladder distended with bile.

(J4.157.w3)

In an adult female Ursus americanus - American black bear

  • Thyroid: lobes enlarged. Right lobe 7.5 x 3.0 x 1.0 cm, with a cyst on the cranial pole, 2.5 x 2.0 x 0.5 cm, containing 3 ml clear amber fluid. Left lobe 6.5 x 3.5 x 1.0 cm; from the cut surface, which was multilobulated, a small amount of thick yellow-brown opaque fluid exuded. (J2.35.w1)
Histopathology

In an adult female grizzly bear (Ursus arctos - Brown bear)

  • Skin: 
    • Epidermis thickened; acanthosis and hyperkeratosis present. 
    • Areas of epidermal inflammation and ulceration into the dermis.
    • In many hair follicles, hyperkeratosis and accumulation of inflammatory cells, with either no hair shaft or broken hair.
  • Thyroid:
    • Enlarged thyroid follicles, with acini coalesced to form cysts, some having ruptured with colloid escaping into the interstitial spaces.
      • Colloid was mainly weakly acidic.
      • Epithelium of acini was flattened.
      • In a few areas, hyperactive cells projecting into the colloid space.
      • Larger cysts had hyperplastic lining, 2-10 cells, thick.
  • Liver:
    • Multiple areas of telangectasis, with dilatation of the sinusoidal capillaries.

    (J4.157.w3)

In an adult female Ursus americanus - American black bear

  • Thyroid: Colloid goitre of both lobes: follicles of both lobes lined with flattened cuboidal epithelium and distended by abundant intrafollicular eosinophilic colloid; limited amounts of normal follicular architecture were remaining. In the right lobe, also a follicular cystadenoma, lined by flattened cuboidal epithelial cells, with focal areas of mild nuclear pleomorphism, replacing about a third of the cranial pole of the lobe, and filled with homogenous amphophilic colloid. (J2.35.w1)
Further Information Hypothyroidism in an adult female grizzly bear (Ursus arctos - Brown bear) may have been diet related. The bear was from an endemic goitre area of Canada, and the diet may have been low in iodine and may have contained some mild goitrigenic substances. (J4.157.w3)
Diagnosis
  • History, clinical examination and results of thyroid activity tests. (J4.157.w3)
  • History, physical examination and endocrinological findings: low total thyroxine (T4), 12.0 nmol/L, versus 17,8 +/- 4.5 nmol/L for eight healthy conspecifics, and low fT4ED (free T4 by equilibrium dialysis), 9.0 pmol/L, versus 30.9 +/- 6.4 pmol/L for eight healthy conspecifics. (J2.35.w1, P1.2002.w5)
Treatment
  • In two polar bears, treatment with L Thyroxine, 3 mg twice daily (female) or 2 mg twice daily (male) resulted in an increase in serum T4 levels but no improvement in skin lesions. (P1.1979.w3)
  • In an adult female Ursus americanus - American black bear, levothyroxine sodium, at 0.022 mg/kg orally twice daily initially, resulting in clinical improvement (improved hair coat and appetite, increased activity, weight loss) within 30 days. Serum T4 and fT4ED, measured six hours after dosing, were 96.0 nmol/L and 65.0 pmol/L respectively (about four times and two times the upper limits for the normal conspecifics), then reduced to 0.018 mg/kg orally twice daily, to 240 days of therapy, then a further reduction to 0.011 mg/kg orally twice daily.  This continued until the bear was euthanised with severe lameness associated with osteoarthritis of the stifles, tarsi and lumbar spine. (J2.35.w1, P1.2002.w5)
  • In Tremarctos ornatus - Spectacled bear, thyroid replacement [no further details available]. (P77.1.w19)
Prevention
  • Ensure adequate iodine in the diet, avoid inclusion of goitrogens in the diet. (J4.157.w3)
  • Supplementation with vitamin A may be beneficial, since the condition may prevent conversion of carotene to vitamin A. (J4.157.w3)
Associated Techniques
Host taxa groups /species Further information on Host species has only been incorporated for species groups for which a full Wildpro "Health and Management" module has been completed (i.e. for which a comprehensive literature review has been undertaken). Host species with further information available are listed below:

List does not contain all other species groups affected by this disease. [N.B. Miscellaneous / Traumatic Diseases tend to be under-reported and the majority are likely to affect all bird and mammal species, given exposure to the related disease agents/factors.]

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