TRH Stimulation Test with ACTH (horse) (2x ACTH)

LABOKLIN Service ID: 1186


Diagnosis

  • PPID (Cushing‘s disease)
  • Test with high sensitivity and specificity; indications: if the results of ACTH determination or of the suppression test do not correlate with clinical findings or are not conclusive.

Material

EDTA plasma 2 x 0.5 ml (centrifuged, pipette off and cool soon after sampling)

Execution

  • first blood collection = baseline value
  • Directly followed by slow i.v. injection of 1 mg TRH for horses >250 kg (horses <250 kg: 0.5 mg)
  • Second blood collection after exactly 10 min = stimulation value
  • Third blood sample can additionally be taken 30 minutes after TRH administration

Parameter

ACTH

Method

CLIA

Species list

horse

Duration

Reporting of results on the day the sample is received (Mon–Sat)

Assessment

cut off value 10 min after stimulation: < 100 pg/ml;
borderline: 100-200 pg/ml; positive: > 200 pg/ml
Cut off 30 min after stimulation: < 40 pg/ml;
borderline: 40-90 pg/ml; positive: > 90 pg/ml
These values apply to the months of January to June. The stimulation test is not recommended from July to December. If the result is negative during this period (< 100 pg/ml after 10 min, < 40 pg/ml after 30 min), the diagnosis of PPID is very unlikely.