Prevalence and characterization of hypoadrenocorticism in dogs with signs of chronic gastrointestinal disease: A multicenter study

J Vet Intern Med. 2020 Jul;34(4):1399-1405. doi: 10.1111/jvim.15752. Epub 2020 Jun 23.

Abstract

Background: Dogs with hypoadrenocorticism (HA) frequently show signs of gastrointestinal disease (SGD). The prevalence of dogs presented for chronic SGD with HA is unknown.

Objectives: The aims of this study were to determine the prevalence of HA in dogs with chronic SGD and to identify clinical and laboratory variables for HA in this population.

Animals: One hundred fifty-one dogs with chronic SGD.

Methods: In this multicentered prevalence study a standardized workup was performed in prospectively enrolled dogs with SGD > 3 weeks duration. Basal serum cortisol concentration was measured in every dog with ACTH stimulation test (ACTHST) if basal serum cortisol concentration was <3 μg/dL.

Results: Basal serum cortisol concentration was <3 μg/dL in 80/151 (53%) dogs, <2 μg/dL in 42/151 (28%) dogs, and < 1 μg/dL in 9/151 (6%) dogs. In 6/151 dogs HA was diagnosed based on ACTHST (stimulated serum cortisol concentration < 2 μg/dL), a prevalence of 4%. There was no difference in history, physical examination, and laboratory variables between dogs with HA and those with other causes of chronic SGD. In 4/6 dogs with HA, there was melena or hematochezia indicating gastrointestinal blood loss. Hyperkalemia, hyponatremia, or both was not observed in any dog.

Conclusion and clinical importance: The prevalence of HA among dogs with chronic SGD is higher than in the general population. Based on these results, testing adrenal function should be performed as a standard screening test in dogs with chronic SGD to differentiate between HA and chronic enteropathies.

Keywords: Addison's disease; atypical hypoadrenocorticism; chronic diarrhea; cortisol.

Publication types

  • Multicenter Study

MeSH terms

  • Adrenal Insufficiency / blood
  • Adrenal Insufficiency / diagnosis
  • Adrenal Insufficiency / epidemiology
  • Adrenal Insufficiency / veterinary*
  • Adrenocorticotropic Hormone / pharmacology
  • Animals
  • Dog Diseases / blood
  • Dog Diseases / diagnosis*
  • Dog Diseases / epidemiology
  • Dogs
  • Female
  • Gastrointestinal Diseases / blood
  • Gastrointestinal Diseases / diagnosis
  • Gastrointestinal Diseases / veterinary*
  • Gastrointestinal Hemorrhage / veterinary
  • Hydrocortisone / blood
  • Male
  • Melena / veterinary
  • Prevalence
  • Prospective Studies

Substances

  • Adrenocorticotropic Hormone
  • Hydrocortisone

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