Treatment of Canine Alopecia X with Trilostane

    October 2004 in “ Veterinary Dermatology
    Rosario Cerundolo, D. H. Lloyd, A. Persechino, Helen Evans, Andria Cauvin
    Studysummary In this study, trilostane treatment led to complete hair re-growth in 85% of Pomeranians and all miniature poodles with alopecia X within 4 to 8 weeks.
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    The study investigated the use of trilostane, a competitive inhibitor of 3β-hydroxysteroid dehydrogenase, in treating canine Alopecia X in 16 Pomeranians and 8 miniature poodles. The dogs exhibited clinical signs of Alopecia X, elevated 17-hydroxyprogesterone levels, and increased urinary cortisol/creatinine ratios. Trilostane was administered at an average dose of 10.85 mg/kg/day, either once or twice daily. Over a follow-up period of 28 months for Pomeranians and 33 months for miniature poodles, 85% of Pomeranians and all miniature poodles experienced complete hair regrowth within 4 to 8 weeks. No adverse effects were noted, suggesting that trilostane effectively promoted hair regrowth, potentially through the down-regulation of adrenal steroids or noncompetitive inhibition of estrogen receptors at the hair follicle level.
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