Decreased urinary catecholamines in a cat with dysautonomia

Feline dysautonomia was diagnosed in a 2-year-old cat with a history of regurgitation, constipation, mydriasis, and dry eyes. The diagnosis of parasympathetic and sympathetic failure was confirmed by abnormal physiologic autonomic function tests and decreased urinary catecholamine measurements. Despite intensive supportive care, the cat failed to improve and was euthanatized 70 days after the onset of illness. Feline dysautonomia is rarely reported in the United States, and the cat had no history of travel to a country where the disease is more prevalent.