Hypothyroidism in the foal

Summary Hypothyroidism in the foal occurs as two entities because of the separate actions of thyroid hormones in regulation of metabolic rate and in cell differentiation. The hypometabolic state which results in inadequate thermogenesis and lethargy, occurs concurrently with a period when thyroid hormone secretion is inadequate. Also the severity of the concurrent symptoms is related to the degree of hormone inadequacy as measured by plasma concentrations of free T4 and T3. By contrast, the developmental lesions caused by hypothyroidism are often observed during periods when plasma thyroid hormone concentrations are normal. This is because during the development of most tissues there is a period during which deprivation of thyroid hormones leads to developmental defects which may first appear weeks or months later, by which time thyroid hormone levels may have returned to normal. In the foal the critical period for some developmental processes, eg, myelination, is before birth so it is difficult to confirm a pre‐natal hypothyroid state as the cause of neonatal neuromuscular incompetence. Post natal developmental lesions of the epiphyses or ossification centres, for example, may also manifest themselves some weeks subsequent to the period during which hypothyroidism existed. Because confirmation of diagnosis using plasma hormone measurements is very difficult in the foal, and because the symptoms of hypothyroidism are not specific, the incidence of confirmed hypothyroidism in foals is low. However there is suggestive evidence that where awareness of the condition exists it is diagnosed frequently. The aetiology is obscure although diet has been implicated. While treatment with thyroxine by any route is an effective and economical method of raising plasma hormone concentrations, it is obviously useful only if given while thyroid hormone levels are low