“…The dogs showed the characteristic signs of Cushing Syndrome: polydipsia, polyuria, polyphagia, thin inelastic skin, hair loss, large abdomen, weight gain. The diagnosis was confirmed using the cortisol:creatinine relationship in urine before and after oral administration of dexamethasone (Galac et al, 1997), ACTH stimulation (basal cortisol measurements and 1 h after intravenous administration of 0.25 mg ACTH), plasma ACTH measurements, abdominal ultrasonography to evaluate the morphology and size of the adrenal glands, and Magnetic Resonance of the sellar region (Gallelli et al, 2010;Kooistra and Galac, 2012;Miceli et al, 2014). None of these patients had concurrent diseases (heart disease, clinically evident kidney disease, urinary infections, diabetes mellitus, neoplasia nor systemic infectious diseases) nor were they receiving or had received treatment for PDH prior to this diagnosis.…”