Evidence map›Paper›PMID 31448839›Full record

ArticleJournal of veterinary internal medicine2019

Presumptive iatrogenic hypoadrenocorticism induced by high-dose ketoconazole administration in a dog.

Andrea Hernandez-Bures, Amelia G White, Laura Riordan

Abstract readCase Reports
In one paragraph

Article in Journal of veterinary internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Andrea Hernandez-BuresFlorida Veterinary Referral Center and 24-Hour Emergency, Estero, Florida.ORCID https://orcid.org/0000-0001-6450-824X
Amelia G WhiteDermatology Service, Auburn University College of Veterinary Medicine, Auburn, Alabama.
Laura RiordanFlorida Veterinary Referral Center and 24-Hour Emergency, Estero, Florida.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 11-year-old male neutered Shih Tzu was referred to a tertiary facility with a history of weight loss, decreased appetite, polydipsia, and lethargy. The dog had a 10-year history of nonspecific allergic dermatitis and was being treated with 16 mg/kg of ketoconazole q12h for Malassezia dermatitis. Vague gastrointestinal signs, hypocholesterolemia, and lack of a stress leukogram increased suspicion for hypoadrenocorticism (HA). An adrenocorticotropic hormone (ACTH) stimulation test identified hypocortisolemia on pre- and post-ACTH samples and ketoconazole was discontinued. After a short course of corticosteroid treatment, an ACTH stimulation test was repeated and pre-ACTH cortisol concentration was within the reference range, and the post-ACTH cortisol concentration was mildly increased. The temporal association between return of adequate adrenocortical cortisol production and discontinuation of ketoconazole led to the conclusion that the dog had developed iatrogenic HA secondary to ketoconazole treatment.

Indexed as

Adrenal InsufficiencyAdrenocorticotropic HormoneAnimalsAntifungal AgentsDermatomycosesDog DiseasesDogsHydrocortisoneIatrogenic DiseaseKetoconazoleMalasseziaMaleAdrenocorticotropic HormoneAntifungal AgentsHydrocortisoneKetoconazoleACTHAddison's diseaseantifungalMalassezia spp

Identifiers

PMID31448839
PMCPMC6766512

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.