Update on feline hypoadrenocorticism

While canine hypoadrenocorticism is a well-recognised disorder with clear diagnostic and treatment guidelines, feline hypoadrenocorticism remains a challenge because of its rarity (only approximately 40 cases documented in the past 40 years since it was first described in 1983) and waxing and waning clinical signs. Although no breed, sex or age association has been reported, cats aged <6 years are overrepresented. Furthermore, empirical treatment with corticosteroids, resulting in clinical improvement, contributes to delays in achieving the diagnosis and initiating treatment. Feline hypoadrenocorticism is diagnosed with an adrenocorticotropic hormone (ACTH) stimulation test; a low resting cortisol concentration with an inadequate or absent response ...

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