Because it is a late sign, laminitis is a poor "diagnostic" indicator for PPID (Cushing's disease). Testing ACTH (with Cornell as our lab of choice), despite the difficulties in handling and shipping and the possibility of false negatives or positives is immensely better than waiting until your horse has laminitis or has foundered.
It's always good news when our knowledge base about diagnosing this disease is broadened or - as here - confirmed.
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