Evaluation of the basal and post-adrenocorticotrophic hormone serum concentrations of 17-hydroxyprogesterone for the diagnosis of hyperadrenocorticism in dogs

Serum concentrations of 17-hydroxyprogesterone and cortisol were measured before and after the administration of exogenous adrenocorticotrophic hormone (ACTH) to three groups of dogs: 27 healthy dogs (group 1), 19 dogs with non-adrenal illness (group 2) and 46 dogs with hyperadrenocorticism (group 3). The median (range) post-ACTH concentrations of 17-hydroxyprogesterone were 5.0 (22.2 to 16.8), 6.9 (2.0 to 36.2) and 14.4 (1.7 to 71) nmol/litre in groups 1, 2 and 3, respectively. There were no significant differences in the basal or post-ACTH concentrations of cortisol or 17-hydroxyprogesterone between groups 1 and 2. The post-ACTH concentrations of 17-hydroxyprogesterone in group 3 were significantly (P<0.001) greater than those in groups 1 and 2 combined. The area under the receiver operating curve (ROC) for the post-ACTH concentration of cortisol (0.94) was significantly greater than that for the post-ACTH concentration of 17-hydroxyprogesterone (0.76). Using a two-graph ROC analysis, a cut-off of 8.5 nmol/litre was found to maximise both the sensitivity and specificity of the post-ACTH concentration of 17-hydroxyprogesterone for the diagnosis of hyperadrenocorticism at 71 per cent. With a cut-off of 4.5 nmol/litre the sensitivity increased to 90 per cent but the specificity decreased to 40 per cent; with a cut-off of 16.7 nmol/litre the specificity increased to 90 per cent but the sensitivity decreased to 47 per cent.     

Use of height-specific weigh tapes to estimate the bodyweight of horses

Two thousand horses of different ages, heights and breeds were divided into two height groups of up to 14.2 hands high (hh) and more than 14.2 hh, and weighed on a weighbridge; each horse then had its weight estimated by three weigh tapes, one height specific (tape 1 or 2, depending on the animal's height) and two for general use (tapes 3 and 4). For horses up to 14.2 hh, weigh tape 1 provided the most accurate estimate of mean (sd) bodyweight (100.5 [6.2] per cent), and weigh tapes 3 and 4 were 112 (6.8) and 97-0 (6.1) per cent accurate, respectively. For horses more than 14.2 hh, weigh tape 2 provided the most accurate estimate of bodyweight (98.6 [18.4] per cent), with weigh tapes 3 and 4 being 102.6 (17.4) and 90.8 (15.2) per cent accurate, respectively.     

Effect of oral L-carnitine on its concentration in the plasma of yearling Thoroughbred horses

After an oral dose of 10 g of L-carnitine the plasma concentrations of free and total carnitine increased in five yearling thoroughbred horses, reaching a peak two to four hours after administration, but in two horses there was no increase. In the five which responded, the mean (+/- sd) peak increase in total carnitine concentration was 15.1 +/- 6.9 mumol/litre from a predose mean of 18.8 +/- 3.4 mumol/litre, and the mean peak increase in free carnitine concentration was 13.5 +/- 3.1 mumol/litre from a pre-dose mean concentration of 12.5 +/- 2.2 mumol/litre. These changes were similar to those observed previously in a group of adult thoroughbred horses given 10 g of L-carnitine. There was no consistent pattern of change in the concentration of acetylcarnitine in the seven yearling horses.     

Urinary enzyme concentrations in healthy horses

Urinary concentrations of gamma glutamyl transferase (GGT), alkaline phosphatase (AP), aspartate aminotransferase (AsAT), and alanine aminotransferase (AAT) were measured in 32 healthy horses (16 geldings and 16 females) at the same time on 2 consecutive days. The subjects were divided into 4 ages groups, each comprising 8 horses (4 of each sex). In 10 of the geldings, urine was collected continuously for 72 hours, with catheterized samples being obtained at 0800, 1400 and 2000 hours, and an aliquot of the pooled urine being taken every 24 hours. Urinary enzyme activity was found to be unrelated to serum concentrations of the same enzymes. There was no diurnal variation in the activity of the urinary enzymes. Neither the sex of the horses nor their age influenced urinary enzyme activity regardless of whether it was expressed in absolute terms or in reference to creatinine excretion Normal values of GGT and AP were determined to be 3.3 +/- 3.0 IU/L, (2.5 +/- 3.4 IU/g Cr); and 10.2 +/- 4.0 IU/L (6.7 +/- 3.9 IU/g Cr) respectively. Neither AAT or AsAT were present in detectable levels. The mean urine creatinine concentration of all horses was 1.56 +/- 0.42 g/L with no significant age or sex variation being evident.     

Comparison of thiopentone/guaifenesin, ketamine/guaifenesin and ketamine/midazolam for the induction of horses to be anaesthetised with isoflurane

Forty-eight horses subjected to elective surgery were randomly assigned to three groups of 16 horses. After premedication with 0.1 mg/kg acepromazine intramuscularly and 0.6 mg/kg xylazine intravenously, anaesthesia was induced either with 2 g thiopentone in 500 ml of a 10 per cent guaifenesin solution, given intravenously at a dose of 1 ml/kg (group TG), or with 100 mg/kg guaifenesin and 2.2 mg/kg ketamine given intravenously (group KG), or with 0.06 mg/kg midazolam, and 2.2 mg/kg ketamine given intravenously (group KM). Anaesthesia was maintained with isoflurane. The mean (sd) end tidal isoflurane concentration (per cent) needed to maintain a light surgical anaesthesia (stage III, plane 2) was significantly lower in group KM (0.91 [0.03]) than in groups TG (1.11 [0.03]) and KG (1.14 [0.03]). The mean (sd) arterial pressure (mmHg) was significantly lower in group KG (67.4 [2.07]) than in groups TC (75.6 [2.23]) and KM (81.0 [2.16]). There were no significant differences in the logarithm of the heart rate, recovery time or quality of recovery between the three induction groups. However, pronounced ataxia was observed in the horses of group KM, especially after periods of anaesthesia lasting less than 75 minutes.     

Amino acid supplementation improves muscle mass in aged and young horses

The objective of the study was to evaluate the effect of supplementary AA on the ability to support muscle mass in aging horses. Sixteen horses of light horse type were used in a 2 x 2 factorial arrangement of treatments with two age groups [< or = 10 yr (average = 9.1 +/- 0.29 yr) and > or = 20 yr (average = 22.4 +/- 0.87 yr)] and two diet groups [no supplementation (N) or supplementary lysine and threonine (S; 20.0 and 15 g/d, respectively)]. Horses were fed the diets for 14 wk and received regular light exercise throughout the study. Body weight, BCS, and venous blood samples were taken every 2 wk. Plasma was analyzed for total protein, albumin, creatinine, urea N (PUN), and an AA profile, including 3-methyl histidine (3MH) and sulfur AA. Photographs of the horses taken at the start and at the end of the experiment were used to assign a subjective muscle mass score from 1 to 5 (1 = lowest to 5 = highest). There was no difference in BW caused by diet; however, the S-group horses tended (P = 0.064) to gain more weight (6.91 +/- 2.3 kg), and in fact, the N-group horses lost weight (- 11.76 +/- 5.2 kg) during the experiment. Repeated measures analysis revealed that BCS was lower for the aged vs. the young horses (P = 0.001) as well as for the S- vs. the N-group horses (P = 0.026). Subjective muscle mass scores were not different at the start of the experiment but were greater (P = 0.047) for the S-group horses (3.77 +/- 0.13) at the end of the experiment compared with the N-group horses (3.28 +/- 0.14). Plasma creatinine was greater (P = 0.032), and PUN was lower (P = 0.027), for S-group horses compared with N-group horses. Initial 3MH concentrations were not different; however, at the end of the experiment, 3MH was lower for the S-group horses (P = 0.016) compared with the N-group horses. Plasma lysine and threonine concentrations were greater for S-group horses at the end of the experiment than for N-group horses (P = 0.023 and 0.009, respectively). Both 3MH and PUN concentrations were negatively correlated to lysine (R2 = 0.57 and 0.65, respectively) and threonine intake (R2 = 0.56 and 0.60, respectively) at the end of the study. These data suggest that horses receiving supplementary AA were able to maintain muscle mass better than those without supplementation, regardless of age, as evidenced by the improvement in muscle mass scores, lower BCS with no difference in BW, greater creatinine, and lower 3MH and PUN concentrations in the S-group horses.     

Potential of alfalfa as a source of calcium for calcium deficient horses

The potential of short-cutting cycle, high temperature-dried alfalfa as a source of calcium for horses was determined by means of a 4 x 4 Latin square digestibility trial using four thoroughbred horses (mean liveweight 531 kg). The four dietary treatments were timothy hay alone, 33 per cent alfalfa and 67 per cent timothy hay, 67 per cent alfalfa and 33 per cent timothy hay, and alfalfa alone. Significantly more calcium and magnesium were absorbed from the alfalfa than from the hay. Phosphorus absorption appeared to be unaffected by treatment. Alfalfa calcium was more available than timothy hay calcium (apparent absorption coefficients of 0.78 and 0.15, respectively) and there was less variation between individual horses in their ability to absorb calcium from alfalfa. Horses fed alfalfa had significantly higher creatinine clearance ratios for calcium (P less than 0.01) and magnesium (P less than 0.001) than horses fed hay, but the creatinine clearance ratio for phosphorus was lower in horses fed hay alone.     

Hormonal response to thyrotropin-releasing hormone in healthy horses and in horses with pituitary adenoma

Cortisol, triiodothyronine (T3), thyroxine (T4), insulin, and glucose responses to thyrotropin-releasing hormone (TRH) were evaluated in 12 healthy, mature horses and in 7 horses and 4 ponies with clinical signs of pituitary adenoma (PA). Within 1 hour after TRH administration, the increase in T3 and T4 was similar in healthy horses and animals with PA. Plasma cortisol in the group with PA increased (P less than 0.05) within 0.25 hours after TRH administration, and remained increased for 1.5 hours. In the control group, a significant increase in plasma cortisol concentrations did not develop after TRH administration. Plasma glucose and insulin concentrations were higher in animals with PA than in the healthy horses throughout the experiment (6 hours).     

Influence of modified open lung concept ventilation on the cardiovascular and pulmonary function of horses during total intravenous anaesthesia

The influence of a modified open lung concept (mOLC) on pulmonary and cardiovascular function during total intravenous anaesthesia (TIVA) in horses was evaluated. Forty-two warmblood horses (American Society of Anesthesiologists class 1 to 2), scheduled for elective surgery (mean [sd] weight 526 [65] kg, age 6.4 [5.4] years) were randomly divided into three groups: ventilation with mOLC, intermittent positive-pressure ventilation (IPPV), and spontaneous breathing. Premedication (0.8 mg/kg xylazine), induction (2.2 mg/kg ketamine and 0.05 mg/kg diazepam) and maintenance of anaesthesia with TIVA (1.4 mg/kg/hour xylazine, 5.6 mg/kg/hour ketamine and 131.1 mg/kg/hour guaifenesin), with inhalation of 35 per cent oxygen in air, were identical in all horses. Heart rate, respiratory rate, mean arterial blood pressure (MAP), pH, and arterial partial pressure of oxygen (p(a)O(2)) and carbon dioxide (p(a)CO(2)) were evaluated. Data were collected every 10 minutes from 20 to 90 minutes anaesthesia time. Factorial analysis of variance and Tukey's post hoc test were used for statistical analysis (a=5 per cent). Horses in the mOLC-ventilated group had an overall significantly higher p(a)O(2) (16.9 [1.0] v 11.7 [1.34] v 10.5 [0.57] kPa) and lower MAP (93.1 [5.47] v 107.1 [6.99] v 101.2 [5.45] mmHg) than the IPPV and spontaneously breathing groups, respectively.     

Variations of serum cortisol in Argentine horses subjected to ship transport and adaptation stress

The response to stress after transport by ship and adaptation to a new environment was evaluated by variations of serum cortisol (RIA method) in 40 horses imported in Italy from Argentina. The study started at arrival (April 2000) and lasted 6 months (October 2000). As a control group, 42 horses living in Italy have been evaluated. In all subjects, hematocrit, total protein, total bilirubin, urea, creatinine, and creatinine kinase were determined. In control horses, cortisol values ranged between 103 and 278 nM/L (mean 190.24 ± SE 13.50, SD 43.82, CV 23.03), and no significant differences among sex or age groups were observed (P > .05). In subjects coming from Argentina, cortisol values observed at landing were within the normal range (193.73 nM/L ± SE 7.95, SD 50.29, CV 25.95), increased substantially in May (366.06 nM/L ± SE 10.25, SD 64.81, CV 17.70) and in June (337.19 nM/L ± SE 12.16, SD 76.89, CV 22.80) and returned to normal in October (187.87 nM/L ± SE 12.54, SD 43.50, CV 23.15). The differences observed in May and in June were significant in comparison with the values observed in April (P < .01). The variations of CK in horses coming from Argentina were of great interest because they seemed at high levels in May and June. Data indicated that adaptation to the journey was very good. Stress conditions appeared in the first period of stay in Italy, maybe because of hierarchical conflicts resulting from an incorrect grouping of the subjects.     

Effects of cross-tying horses during 24 h of road transport

Transportation stress has been implicated as a predisposing factor to respiratory disease in horses. Cross-tying horses individually in stalls is common practice for transporting show and racehorses, but horses also travel in small groups or individually without being restricted by tying. The objective of this study was to compare physiological responses of horses travelling cross-tied or loose during 24 h of road transport. Ten horses were used in a cross-over design consisting of two 4 day trials. In the first trial, 6 horses were cross-tied, while 2 pairs of horses were loose in enclosed compartments. Treatments were reversed in the second trial. Baseline samples were collected on Day 1, horses transported on Day 2, and recovery data collected on Days 3 and 4. Blood samples were collected daily at 0800, 1100 and 2000 h. The mean responses in all horses of serum cortisol, lactate, glucose, alpha1-acid glycoprotein, and total protein concentrations, packed cell volume (PCV), white blood cell (WBC) counts and aminotransferase and creatine kinase were was elevated significantly from baseline during the 4 day study. The response of white blood cell counts, neutrophil to lymphocyte ratios and glucose and cortisol concentrations was significantly elevated in the cross-tied compared to the loose group during transport and recovery. This study supports the recommendation of allowing horses during long-term transportation to travel loose in small compartments, without elevating their head by cross-tying.     

Estimation of urinary flow rate in weanling and yearling horses

In an attempt to validate the use of urinary creatinine concentration as an index of urinary flow rate, a series of timed quantitative urine collections were done on several groups of weanling and yearling ponies and Thoroughbreds. A total of 411 urine samples were generated by 19 ponies and 12 Thoroughbreds. Urinary flow rates and urinary creatinine concentrations were measured. When all the data were examined, urinary flow rates were independent of creatinine concentrations. However, for any given animal, daily urinary creatinine excretion was constant over several days, and urinary creatinine concentrations were related to urinary flow rates in a negative curvilinear fashion. Urinary flow rates in young horses can be estimated from urinary creatinine concentrations, but separate curves relating the 2 variables must first be derived for each animal.     

Effect of biotin supplementation on the vLa4 of thoroughbred horses

Thoroughbred horses in racing condition were supplemented twice daily with 25 mg biotin (biotin group), while control horses received an equivalent amount of maltodextrose as a placebo (placebo group). Changes of v_fLa4 (running speed necessary for producing a lactate concentration of 4 mmol/l in the blood) were determined with an incremental step test within three days and after two, three and four months after the beginning of supplementation. The mean v_fLa4 of both the biotin and the placebo groups (5 horses each) did not change significantly within three days of supplementation, but the mean plasma biotin concentration increased in the biotin group from 1.3±0.4 to 47±22 nmol/l (p<0.01), while remaining below 3 nmol/1 in the placebo group. There was no significantly different development of the v_fLa4 between groups over four months of supplementation. But, while the mean v_fLa4 of Thoroughbreds supplemented with biotin over this period of time did not show any changes, the v_fLa4 of the placebo group horses showed a tendency to decrease. In the biotin group, the mean plasma biotin levels varied between 38 and 64 nmol/l over the four months, while the biotin concentration of the placebo group never exceeded 3 nmol/1.     

Plasma endotoxin levels in horses subjected to carbohydrate induced laminitis

Thirteen (65 per cent) of 20 horses subjected to carbohydrate overload developed Obel Grade 3 lameness within 56 h. Increases in plasma endotoxin from control levels of less than 0.1 ng/litre to values ranging from 2.4 to 81.53 ng/litre were measured in 11 (85 per cent) of 13 horses during the onset of Obel Grade 3 lameness. Obel Grade 3 lameness was associated with rises in plasma Gram-negative endotoxin levels in 11 (92 per cent) of 12 horses. Two peak increases separated by 16 h were verified in five (45 per cent) of 11 horses that exhibited both endotoxaemia and Obel Grade 3 lameness. The first peak occurred, on average, at 32 h and the second peak at 48 h post overload when only one peak was measured, this occurred in four horses at the average time of 24 h whereas in another three horses only a 48 h or 56 h peak was detected after carbohydrate overload.     

Effect of diet on gentamicin-induced nephrotoxicosis in horses.

Gentamicin sulfate-induced nephrotoxicosis was compared in 2 groups of horses fed different rations. Four horses were fed only alfalfa hay, and 4 other horses were fed only whole oats. Seven days after initiation of the diet, all horses were given gentamicin IV (5 mg/kg of body weight) every 12 hours for 22 days. Urinary gamma-glutamyl-transferase to urinary creatinine (UGGT:UCr) ratio was calculated daily, and serum concentration of gentamicin was measured at 1 and 12 hours after drug administration. Results indicated that horses fed oats had greater renal tubular damage than did horses fed alfalfa. Mean UGGT:UCr for horses fed alfalfa was 47.1 +/- 18.8 and was 100.0 +/- 19.0 for horses fed oats (P = 0.007). The UGGT:UCr in horses fed oats was greater than 100 for a total of 54 days; horses fed alfalfa had UGGT:UCr greater than 100 for only 7 days. Two horses not given gentamicin were fed only oats and 2 were fed only alfalfa. These horses had mean UGGT:UCr of 17.6 +/- 2.2 and 30.5 +/- 3.0, respectively. Mean peak and trough concentrations of gentamicin were statistically different for horses fed oats and those fed alfalfa (peak 23.16 +/- 1.87 and 14.07 +/- 1.79 micrograms/ml, respectively [P = 0.0001], and trough, 1.81 +/- 0.69 and 0.71 +/- 0.70 micrograms/ml, respectively [P = 0.0270]). Mean half-lives of gentamicin (estimated from peak and trough concentrations) for horses fed alfalfa (2.58 +/- 0.26 hours) and horses fed oats (2.88 +/- 0.27 hours) were not significantly different. Horses fed only oats had greater degree of gentamicin-induced nephrotoxicosis than did those fed only alfalfa.     

Meal size and feeding frequency influence serum leptin concentration in yearling horses

Energy is an essential nutrient for all horses, and it is especially important in performance horses, pregnant and lactating mares, and young growing horses. A negative energy balance in horses such as these may result in unsatisfactory performance, decreased fertility, or slow growth. Therefore, ensuring adequate energy intake is an important aspect of the nutritional management of the equine. This study was undertaken to investigate the effects of feeding large, carbohydrate-rich, concentrate meals on the satiety-inducing hormone, leptin. Three groups of yearling horses were rotated through 3 feeding schedules in a replicated 3x3 Latin square design. Horses were fed 2, 3, or 4 times per day (2x, 3x, and 4xfeeding schedules, respectively), each for a period of 11 d, with the total amount of daily feed held constant. Horses were weighed and BCS was determined on the first day of each period. Blood samples were collected before the morning meal on d 1, 4, and 7 of each period. Additionally, blood was sampled for the last 24 h of the 2xand 4xdietary periods. Neither weight nor BCS changed during the study (P = 0.99 and P = 0.28, respectively). Both mean and peak plasma glucose were greatest in 2xhorses (P < 0.05), as were mean areas under the curve. Serum leptin concentration increased in 2xhorses (P < 0.05), but not in horses fed 3 or 4 times daily. Leptin was elevated in horses with greater BCS (P < 0.05) and increased steadily throughout the study (P < 0.05). Data from the 24-h collection indicated that 2xhorses had fluctuations in leptin production throughout the day (P < 0.05), whereas horses fed 4 times daily did not. Overall, this study indicates that feeding horses 2 large concentrate meals daily can increase mean serum leptin concentrations and may cause fluctuations in leptin production over a 24-h period. This departure from baseline leptin concentration has the potential to affect appetite, along with numerous other physiological processes.     

Comparison between blood serum and salivary cortisol concentrations in horses using an adrenocorticotropic hormone challenge

Reasons for performing study: In horses, serum cortisol concentration is considered to provide an indirect measurement of stress. However, it includes both free and bound fractions. The sampling method is also invasive and often stressful. This is not the case for salivary cortisol, which is collected using a more welfare‐friendly method and represents a part of the free cortisol fraction, which is the biologically active form. Objectives: To compare salivary and serum cortisol assays in horses, in a wide range of concentrations, using an adrenocorticotropic hormone (ACTH) stimulation test, in order to validate salivary cortisol for stress assessment in horse. Methods: In 5 horses, blood samples were drawn using an i.v. catheter. Saliva samples were taken using swabs. Cortisol was assayed by radioimmunoassay. All data were treated with a regression method, which pools and analyses data from multiple subjects for linear analysis. Results: Mean ± s.d. cortisol concentrations measured at rest were 188.81 ± 51.46 nmol/l in serum and 1.19 ± 0.54 nmol/l in saliva. They started increasing immediately after ACTH injection and peaks were reached after 96 ± 16.7 min in serum (356.98 ± 55.29 nmol/l) and after 124 ± 8.9 min in saliva (21.79 ± 7.74 nmol/l, P<0.05). Discharge percentages were also different (225% in serum and 2150% in saliva, P<0.05). Correlation between serum and salivary cortisol concentrations showed an adjusted r²= 0.80 (P<0.001). The strong link between serum and salivary cortisol concentrations was also estimated by a regression analysis. Conclusions: The reliability of both RIAs and regression found between serum and salivary cortisol concentrations permits the validation of saliva‐sampling as a noninvasive technique for cortisol level assessment in horses.     

Longitudinal growth analysis of horses following limited and ad libitum feeding

Eighteen colts were assigned to one of two groups: limit or ad libitum feeding. Three periods were evaluated: 1) six to 12 months, 2) 12 to 18 months and 3) 18 to 24 months of age. At 24 months of age, ad libitum fed horses weighed 13 per cent (51 kg) more and were 3.6 per cent (5.2 cm) taller than those fed limited amounts. Total, fore and hind body mass increased quadratically irrespective of dietary treatment. Fore body mass comprised 57 per cent of total body mass for both groups and this did not change with age or dietary treatment. Heart girth was directly related (R2 = 0.96) to total body mass. Average daily gains in total body mass of ad libitum fed horses were 13 and 71 per cent more rapid (P less than 0.05) than for limit fed horses in Periods 1 and 3, respectively. Ad libitum fed horses gained hind body mass 25 per cent more rapidly (P less than 0.05) than limit fed horses only in Period 1. Growth curves of wither and croup heights were quadratic in form. Ad libitum fed horses gained 12 and 13 per cent more rapidly at the wither than limit fed horses in Period 1 and overall, respectively. Ad libitum fed horses grew 33 per cent more rapidly at the croup than limit fed horses but only in Period 2. From six to 12 months of age, the wither and croup grew two-fold and four-fold more rapidly than between 12 to 18 months and between 18 to 24 months of age, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)     

Gentamicin concentrations in synovial fluid and joint tissues during intravenous administration or continuous intra-articular infusion of the tarsocrural joint of clinically normal horses

OBJECTIVE: To compare gentamicin concentrations achieved in synovial fluid and joint tissues during IV administration and continuous intra-articular (IA) infusion of the tarsocrural joint in horses. ANIMALS: 18 horses with clinically normal tarsocrural joints. PROCEDURE: Horses were assigned to 3 groups (6 horses/group) and administered gentamicin (6.6 mg/kg, IV, q 24 h for 4 days; group 1), a continuous IA infusion of gentamicin into the tarsocrural joint (50 mg/h for 73 hours; group 2), or both treatments (group 3). Serum, synovial fluid, and joint tissue samples were collected for measurement of gentamicin at various time points during and 73 hours after initiation of treatment. Gentamicin concentrations were compared by use of a Kruskal-Wallis ANOVA. RESULTS: At 73 hours, mean +/- SE gentamicin concentrations in synovial fluid, synovial membrane, joint capsule, subchondral bone, and collateral ligament of group 1 horses were 11.5 +/- 1.5 microg/mL, 21.1 +/- 3.0 microg/g, 17.1 +/- 1.4 microg/g, 9.8 +/- 2.0 microg/g, and 5.9 +/- 0.7 microg/g, respectively. Corresponding concentrations in group 2 horses were 458.7 +/- 130.3 microg/mL, 496.8 +/- 126.5 microg/g, 128.5 +/- 74.2 microg/g, 99.4 +/- 47.3 microg/g, and 13.5 +/- 7.6 microg/g, respectively. Gentamicin concentrations in synovial fluid, synovial membrane, and joint capsule of group 1 horses were significantly lower than concentrations in those samples for horses in groups 2 and 3. CONCLUSIONS AND CLINICAL RELEVANCE: Continuous IA infusion of gentamicin achieves higher drug concentrations in joint tissues of normal tarsocrural joints of horses, compared with concentrations after IV administration.     

Dynamic adrenal function testing in eight dogs with hyperadrenocorticism associated with adrenocortical neoplasia.

The results of adrenocorticotropin (ACTH) stimulation and low-dose dexamethasone suppression tests (LDDST) were evaluated retrospectively in eight dogs with clinical signs of hyperadrenocorticism arising from functional adrenocortical tumours, and compared with the results from 12 dogs with confirmed pituitary-dependent hyperadrenocorticism (PDH). The post-ACTH cortisol concentration in the dogs with adrenocortical tumours ranged from 61 to 345-6 nmol/litre (median 251.5 nmol/litre) and they were within the reference range (150 to 450 nmol/litre) in five and unexpectedly low (< 150 nmol/litre) in three dogs. Both the basal and post-ACTH cortisol concentrations were significantly lower in the dogs with adrenocortical neoplasia than in the dogs with PDH. Eight hours after the LDDST, only two of six dogs with adrenocortical tumours had a cortisol concentration above 30 nmol/litre, and the median resting, three, and eight-hour cortisol concentrations were 31.5, 23.0, and 22.7 nmol/litre respectively. There was no significant cortisol suppression during the LDDST, although interpretation was complicated by the low cortisol concentrations, but two dogs showed a pattern of apparent suppression. Two dogs with adrenal tumours showed a diagnostically significant increase in 17-OH-progesterone concentration in response to ACTH although their cortisol concentrations did not increase greatly. These results differ from previous reports of the response of functional adrenal tumours to dynamic endocrine tests.