{"product_id":"equine-ppid-diagnostic-pitfalls-and-the-grey-zone","title":"Equine PPID: diagnostic pitfalls and the grey zone","description":"\u003cstyle type=\"text\/css\"\u003e\u003c!--\ntd {border: 1px solid #ccc;}br {mso-data-placement:same-cell;}\n--\u003e\u003c\/style\u003e\n\u003cp\u003e\u003cspan data-sheets-value=\"{\u0026quot;1\u0026quot;:2,\u0026quot;2\u0026quot;:\u0026quot;ACTH is useful for the diagnosis of PPID but has important limitations. The association between clinical signs and ACTH is relatively poor and ACTH alone is not a good indicator of laminitis risk. The concept of equivocal zones is useful because PPID has no clear cut clinical or histological start point. The pars intermedia produces a plethora of hormones and a single 'cut off' for ACTH is unrealisitc. Assessment of equivocal cases must particularly focus on signalment and the full clinical picture but clearer results may be obtained by assessment during a period of natural stimulation (autumn) or following artificial stimulaiton of the pars intermedia with TRH.\u0026quot;}\" data-sheets-userformat='{\"2\":769,\"3\":{\"1\":0},\"11\":4,\"12\":0}'\u003eACTH is useful for the diagnosis of PPID but has important limitations. The association between clinical signs and ACTH is relatively poor and ACTH alone is not a good indicator of laminitis risk. The concept of equivocal zones is useful because PPID has no clear cut clinical or histological start point. The pars intermedia produces a plethora of hormones and a single 'cut off' for ACTH is unrealistic. Assessment of equivocal cases must particularly focus on signalment and the full clinical picture but clearer results may be obtained by an assessment during a period of natural stimulation (autumn) or following artificial stimulation of the pars intermedia with TRH.\u003c\/span\u003e\u003cbr\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eEquine\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cstrong\u003ePresented by \u003c\/strong\u003e\u003c\/strong\u003e\u003c\/p\u003e\n\u003cstyle type=\"text\/css\"\u003e\u003c!--\ntd {border: 1px solid #ccc;}br {mso-data-placement:same-cell;}\n--\u003e\u003c\/style\u003e\n\u003cp\u003eEdward Knowles, MA VetMB MVetMed DipECEIM MRCVS\u003cbr\u003eHead of Hospital at Bell Equine Veterinary Clinic\u003c\/p\u003e\nPresented at the London Vet Show 2019\u003cbr\u003e\u003cspan data-sheets-value='{\"1\":2,\"2\":\"RVC Equine Theatre 1\"}' data-sheets-userformat='{\"2\":961,\"3\":{\"1\":0},\"9\":1,\"10\":1,\"11\":4,\"12\":0}'\u003eRVC Equine Theatre 1\u003c\/span\u003e\u003cbr\u003e\u003cspan data-sheets-value='{\"1\":2,\"2\":\"RVC Equine Theatre 1\"}' data-sheets-userformat='{\"2\":961,\"3\":{\"1\":0},\"9\":1,\"10\":1,\"11\":4,\"12\":0}'\u003eFriday, November 15 at 11:40 AM\u003c\/span\u003e\n\u003cstyle type=\"text\/css\"\u003e\u003c!--\n\u003cspan id=\"mce_marker\" data-mce-type=\"bookmark\"\u003e\u0026#xFEFF;\u0026#x200B;\u003c\/span\u003e\u003cspan id=\"__caret\"\u003e_\u003c\/span\u003e\u003c!--td {border: 1px solid #ccc;}br {mso-data-placement:same-cell;}\n--\u003e\u003c\/style\u003e","brand":"London Vet Show 2019","offers":[{"title":"Default Title","offer_id":60313007554846,"sku":"tay1791938771306","price":11.78,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/1000\/3778\/7934\/files\/equine-ppid-diagnostic-pitfalls-and-the-grey-zone_1.jpg?v=1791938779","url":"https:\/\/crepeclad.shop\/products\/equine-ppid-diagnostic-pitfalls-and-the-grey-zone","provider":"My Store","version":"1.0","type":"link"}