This case report describes a 3-year-old, castrated male, mixed-breed cat with historical, clinical and laboratory findings compatible with primary hypoadrenocorticism, confirmed by adrenocorticotropic hormone stimulation test. Severe but asymptomatic hypoglycaemia was an unexpected biochemical finding and resolved after fludrocortisone acetate and prednisolone treatment. This case demonstrates that hypoadrenocorticism should be included in the differentials list of severe hypoglycaemia in cats.
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