Atypical hypoadrenocorticism with intact zona glomerulosa of the adrenal cortex after long-term observation: a case report of a dog

J Vet Med Sci. 2023 Jan 6;85(1):9-13. doi: 10.1292/jvms.22-0322. Epub 2022 Nov 14.

Abstract

An 8-year-old intact male pointer presented with lethargy and hypoalbuminemia. On abdominal ultrasonography, both adrenal glands were reduced in thickness. Based on the ACTH stimulation test results and the absence of electrolyte abnormalities, the dog was diagnosed with atypical hypoadrenocorticism. After treatment with low-dose prednisolone, his general condition improved, and blood tests normalized. The dog died 818 days later, and a complete autopsy was performed. Histologically, the architecture of the zonae fasciculata and reticularis was disrupted in both adrenal glands; however, the zona glomerulosa remained relatively normal. In summary, in this study, we detailed the pathological presentation of atypical hypoadrenocorticism without electrolyte abnormalities.

Keywords: Addison’s disease; adrenal gland; atypical hypoadrenocorticism; dog; glucocorticoid-deficient hypoadrenocorticism.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex* / pathology
  • Adrenal Insufficiency* / diagnosis
  • Adrenal Insufficiency* / veterinary
  • Adrenocorticotropic Hormone
  • Animals
  • Dog Diseases* / pathology
  • Dogs
  • Electrolytes
  • Male
  • Zona Glomerulosa / pathology

Substances

  • Adrenocorticotropic Hormone
  • Electrolytes