01/31/12 - Below is a blog post I'm sharing from The Healthy Pet Network. Original post appears here: http://healthypetnetwork.net/?p=1857#more-1857, which is worth visiting to watch the embedded video of the black lab, Gator, who was diagnosed with SARDS.
SARDS – Sudden Acquired Retinal Degeneration Syndrome, appears to be an auto-immune disease that leads to blindness. It stems from a hormonal antibody imbalance that allows a deregulated immune system to lose its protective functions, thus allowing the system to also lose recognition of its own tissue and turn against the body which causes tissue destruction.
This occurs, due to either a deficiency in cortisol, or the production of a defective cortisol. When this happens, excess sex hormones are produced by the inner layer of the adrenal cortex. I personally believe that the offending hormone is total estrogen. The other sex hormone called androgen, can be transformed into more estrogen, due to an enzyme in the fatty tissue called Aromatase. This has been documented in humans but not with animals. More studies are currently being done.
The excess in total estrogen not only binds the thyroid hormone but deregulates the immune system and compromises antibody production. This is how SARDS seems to occur. Anti-antibodies are thought to be produced against the retinal tissue causing blindness.
The shame of this is, by the time the loss of sight in the pet is noticed by the owner, subsequent identification and treatment, generally cannot correct the permanent retinal damage, but there is certainly hope in stopping further auto-immune diseases from occurring, including cancer.
Michigan State and Cornell Schools of Veterinary Medicine are looking into this disease. It is also an important subject if interest for the Healthy Pet Network.
Finally, they are exploring its connection to the syndrome that I discovered 35 years ago. I call it Atypical Cortisol Imbalance Syndrome ( ACIS ), but people still refer to it, as Plechner’s syndrome.
I have been in practice for almost 50 years, trying to find a better way to help my patients. My hope is that academia with all the knowledge and tools and grants available to them, will consider my syndrome and really define it in a much more scientific manner.
After 35 years, it just might be happening. Please tell me why it has taken so long to help a patient?
Yours in Health,
Dr. AL Plechner
**My note - my personal feeling (based only on my research and opinion, as I mentioned here http://sardsdog.blogspot.com/2011/08/sards-resources.html) is that SARDS is not an auto-immune disease as stated in the top paragraph of the blog post above. There have been two studies published in 2006 that showed that anti-retinal autoantibodies were not present in SARDS canines (one referenced here:) http://www.ncbi.nlm.nih.gov/pubmed/16634935
Clearly further research must be done to definitively prove this, but I believe IMR is an autoimmune disease, while SARDS is not. The line of thought to which I subscribe is Caroline Levin's stance that low cortisol and increased total estrogen leads cells (including retinal cells) to uptake too much calcium and cause cytotoxicity by destroying the mitochondria within cells. This leads to a sort of retinal "seizure", which prevents the retina from getting signals through to the brain. Caroline explains this much more eloquently than I do here: http://www.petcarebooks.com/SARDS/FAQs.htm#15
This excess retinal calcium is addressed by Levin's SARDS protocol by supplementing magnesium and adenosine (magnesium is an antagonist of calcium...which means magnesium helps to block the action of calcium in cells).
In March 2011, our Miniature Pinscher, Reo, suddenly went blind and was diagnosed with SARDS (Sudden Acquired Retinal Degeneration Syndrome). We were given no hope for vision recovery, but through research, perseverance, love, tears, and a lot of luck, we brought our dog back from a serious illness, and restored some functional vision in about 5 months! This is our story, our journey...and we hope that by sharing our story, we can help other dogs diagnosed with SARDS!
BLOG DISCLAIMER
**DISCLAIMER** Please note: I am not a veterinarian, and the purpose of this blog is solely to educate, provide resources, and share Reo's story. In this blog, I will present research and information on the theories of SARDS to which I subscribe, along with my own narrative. If you think your dog may have SARDS, or adrenal exhaustion/Plechner Syndrome, please seek veterinary care right away!
If you are just beginning your SARDS education, I suggest you start with the blog post from August 22, 2011 entitled "SARDS Resources". If you'd like to know our trials, tribulations, and joys from the beginning, start with "But first...Reo!" and click chronologically on from there.
If you would like to read my suggestions as to how I would approach treatment for a newly-diagnosed dog, check the November 16, 2011 post "If I had another SARDS dog" (and then read my blog more fully for appropriate context).
Though we have decided to suspend Reo's retinal protection supplements in September 2012 (see September 16, 2012 post "Decision for Reo") due to the fact that she had very little remaining vision, I am still strongly supportive of our treatment approach, and know that it changed Reo's health and longevity in a positive way. Feel free to comment and ask me any questions - I am happy to help if I can!
Update: Reo became an angel on October 21, 2014. She had a profound kidney infection, causing acute kidney failure, and she was unable to recover. The contributing factors to her decline are covered in my February 16, 2015 blog post "Farewell to Reo".
Though I do not regularly update this blog any longer, much of the information is still relevant (though some of the links may be out of date). Feel free to join the conversation at "SARDS Dogs United" on Facebook.
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Hi Lynn...Our Mini Schnauzer, Winston, was diagnosed with SARDS and Cushings in December. I found Dr. Plechner's work online and contacted my vet to have the E-1 panel done. I just received the results today. Cortisol level is high, thyroid level is low and estrogen level is high. I will take your advice and attempt to schedule a consult going forward. In the meantime, I will take any and all help I can get from others that have experience with this. If you have any additional information you can share (your blog is fabulous, by the way)...please email me at sigmanohana@gmail.com. Thank you for sharing your experience - these are certainly murky waters to navigate and it helps to gain insights from others that, unfortunately, have been there!
ReplyDeleteThanks again,
Adrienne