A 9-year-old female mixed-breed dog was presented with dorsal alopecia
, severe pruritus, swelling at the elbows, and a 2 year history of pol
yuria and polydipsia. The dog had been treated with prednisolone by an
other veterinarian for circumscribed dorsal alopecia for about 4 month
s before the presentation. Physical examination revealed bilaterally s
ymmetrical alopecia extending over the face, tail and extremities; sev
ere calcinosis cutis including the areas surrounding the elbows and ta
rsal joints; pendulous abdomen with hepatomegaly; thin skin pyodermas,
and seborrhea sicca. Hematological examinations revealed alanine tran
saminase and alkaline phosphatase activity Based on the skin biopsy an
d endocrine assays, the dog diagnosed with pituitary dependent hyperad
renocorticism (PDH). Treatment with antibiotics, antihistamines, and c
hlorhexidine was effective in treating the skin lesions. About 3.5 mon
ths after the initial presentation, most alopecia, mosi alopecia and c
alcinosis cutis was improved.