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“An ACTH stimulation test in a dog with true renal failure does no harm. A missed diagnosis of Addison's disease, however, may lead to an addisonian crisis and, possibly, death.”
—Jörg M. Steiner, med.vet., Dr.med.vet., PhD, DACVIM, DECVIM-CA
From Practical Matters: Rule out Addison’s disease in patients with possible renal failure