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  • Author or Editor: Elizabeth M. Lennon x
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Abstract

Objective—To determine whether basal serum or plasma cortisol concentration can be used as a screening test to rule out hypoadrenocorticism in dogs.

Design—Retrospective case-control study.

Animals—110 dogs with nonadrenal gland illnesses and 13 dogs with hypoadrenocorticism.

Procedures—Sensitivity and specificity of basal serum or plasma cortisol concentrations of either ≤ 1 μg/dL or ≤ 2 μg/dL to detect dogs with hypoadrenocorticism were estimated by use of the ACTH stimulation test as the gold standard.

Results—Basal cortisol concentrations of ≤ 1 μg/dL had excellent sensitivity (100%) and specificity (98.2%) for detecting dogs with hypoadrenocorticism. For basal cortisol concentrations of ≤ 2 μg/dL, sensitivity was 100% but specificity was 78.2%.

Conclusions and Clinical Relevance—On the basis of sensitivity and specificity, basal serum or plasma cortisol concentrations had high negative predictive values over a wide range of prevalence rates and can be used to rule out a diagnosis of hypoadrenocorticism. Dogs with basal cortisol concentrations > 2 μg/dL that are not receiving corticosteroids, mitotane, or ketoconazole are highly unlikely to have hypoadrenocorticism. However, if the basal cortisol concentration is ≤ 2 μg/dL, little to no information regarding adrenal gland function can be obtained and an ACTH stimulation test should be performed.

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in Journal of the American Veterinary Medical Association
Concerns about <italic toggle="yes">JAVMA</italic> News article

We would like to comment on the JAVMA News article in the November 15, 2021, issue “Taking the chronic out of enteropathies.” 1 The article discusses the use of a panel of new serologic tests for inflammatory bowel disease, relying heavily on a research paper published in 2021 in the Journal of Veterinary Internal Medicine (JVIM) by Estruch et al. 2 However, the News article fails to mention that the results of this study have been questioned due to lack of reporting and analytical assay

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in Journal of the American Veterinary Medical Association