Hypoadrenocorticism is an uncommon condition that has a variety of cli
nical presentations, ranging from a life-threatening crisis to a chron
ic, episodic illness. Anorexia, lethargy/depression, and vomiting are
reported in more than 50% of the cases.(1-4) Less common signs include
shaking/trembling, diarrhea, polyuria, polydipsia, and weight loss. U
nusual cases may be associated with gastrointestinal hemorrhage,(5) me
gaesophagus,(8-8) or even seizures.(9) It is clear that no presentatio
n is specific for hypoadrenocorticism; a lack of response to adrenocor
ticotropic hormone (ACTH) administration is necessary for definitive d
iagnosis. A small number of reported cases provides evidence that immu
ne-mediated mechanisms, whether humoral or cell-mediated, are involved
in the pathogenesis of canine hypoadrenocorticism. The majority of do
gs with primary hypoadrenocorticism is female and over 1-1/2 years of
age at the time of diagnosis. This report presents a case of primary h
ypoadrenocorticism diagnosed in a male puppy.