Panagiotis G Xenoulis

Dr. Panagiotis G Xenoulis

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Research Focus & Metrics

Academic Career Length

16Years (2011-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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1 November 2016 in Journal of Veterinary Internal Medicine
Verified
Journal Article
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PXPanagiotis G Xenoulis
Panagiotis G Xenoulis
DZD.L. Zoran
D.L. Zoran
GFGeoff Fosgate
Geoff Fosgate
JSJ.S. Suchodolski
J.S. Suchodolski
JSJ.M. Steiner
J.M. Steiner
Little information is available about the clinical presentation and response to treatment of cats with exocrine pancreatic insufficiency (EPI). To describe the signalment, clinical signs, concurrent diseases, and response to treatment of cats with EPI. One hundred and fifty cats with EPI. Retrospective case series. Questionnaires were sent to 261 veterinarians, and 150 (57%) were returned with data suitable for statistical analysis. The median age of the cats with EPI was 7.7 years. The median body condition score was 3 of 9. Ninety-two of 119 cats (77%) had hypocobalaminemia, and 56 of 119 cats (47%) had increased and 6 of 119 cats (5%) had decreased serum folate concentrations. Clinical signs included weight loss (91%), unformed feces (62%), poor hair coat (50%), anorexia (45%), increased appetite (42%), lethargy (40%), watery diarrhea (28%), and vomiting (19%). Eighty-seven cats (58%) had concurrent diseases. Treatment response was reported to be good in 60%, partial in 27%, and poor in 13% of 121 cats. Trypsin-like immunoreactivity <4 μg/L was associated with a positive response to treatment (OR, 3.2; 95% CI, 1.5–7.0; P = .004). Also, cobalamin supplementation improved the response to treatment (OR, 3.0; 95% CI, 1.4–6.6; P = .006). Exocrine pancreatic insufficiency in cats often has a different clinical presentation than in dogs. The age range for EPI in cats is wide, and many cats can be ≤5 years of age. Most cats respond well to appropriate treatment for EPI, and cobalamin supplementation appears to be necessary for a good response.

3 February 2020 in Journal of Veterinary Internal Medicine
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Journal Article
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PXPanagiotis G Xenoulis
Panagiotis G Xenoulis
PCPaul J. Cammarata
Paul J. Cammarata
RWRosemary L. Walzem
Rosemary L. Walzem
JSJan S. Suchodolski
Jan S. Suchodolski
Joerg Manfred SteinerJoerg Manfred Steiner
Joerg Manfred Steiner
Background Previous studies have reported an association between hyperlipidemia and pancreatitis in dogs, but details of this association remain poorly defined. Hypothesis/Objectives To compare serum triglyceride and cholesterol concentrations and lipoprotein profiles between dogs with naturally occurring pancreatitis and healthy dogs. Animals Seventeen dogs with a clinical diagnosis of pancreatitis (Group 1) and 53 healthy control dogs (Group 2). Methods Prospective case‐control study. Results In Group 1, 3/17 dogs (18%) had hypertriglyceridemia whereas in Group 2, 4/53 dogs (7.5%) had hypertriglyceridemia (odds ratio [OR], 2.63; 95% confidence interval [CI], 0.52‐13.14; P = .35). A significant difference was found in serum triglyceride concentrations between Group 1 (median, 67 mg/dL) and Group 2 (median, 54 mg/dL; P = .002). In Group 1, 4/17 dogs (24%) had hypercholesterolemia, whereas 1/53 (1.9%) dogs in Group 2 had hypercholesterolemia (OR, 16; 95% CI, 1.64‐155.5; P = .01). No significant difference was found in serum cholesterol concentrations between Group 1 (median, 209 mg/dL) and Group 2 (median, 227 mg/dL; P = .56). Lipoprotein profiles were significantly different between Group 1 and Group 2 dogs (Eigenvalues, 0.6719; R2 = 1.0; P = .001). Conclusions and Clinical Importance Most dogs with pancreatitis (>70%) had serum triglyceride and cholesterol concentrations within reference intervals. In the small percentage of dogs that had hypertriglyceridemia, hypercholesterolemia, or both, increases were mild. Important differences were identified in lipoprotein profiles between dogs with pancreatitis and healthy control dogs. Dogs with pancreatitis had higher low‐density lipoprotein fractions and lower triglyceride‐rich lipoprotein and high‐density lipoprotein fractions than healthy dogs.

15 April 2011 in Journal of the American Veterinary Medical Association
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Journal Article
Closed access
PXPanagiotis G Xenoulis
Panagiotis G Xenoulis
MLMelinda D. Levinski
Melinda D. Levinski
Jan SuchodolskiJan Suchodolski
Jan Suchodolski
JSJörg M. Steiner
Jörg M. Steiner
Objective—To determine whether hypertriglyceridemia in Miniature Schnauzers is associated with insulin resistance. Design—Case-control study. Animals—28 Miniature Schnauzers with hypertriglyceridemia and 31 Miniature Schnauzers for which serum triglyceride concentrations were within the reference range (control dogs). Procedures—All dogs had no history of chronic disease, were free of clinical signs for at least 3 months prior to blood collection, and were not receiving any medications known to affect lipid metabolism or serum insulin concentration. Food was withheld from each dog for ≥ 12 hours; a 5- to 10-mL blood sample was collected and allowed to clot to obtain serum. Serum insulin and glucose concentrations were measured, and the homeostasis model assessment (HOMA) score was calculated (ie, [basal serum insulin concentration {mU/L} × basal serum glucose concentration {mmol/L}]/22.5). Results—Median serum insulin concentration was significantly higher in hypertriglyceridemic Miniature Schnauzers (21.3 mU/L) than it was in control dogs (12.5 mU/L). The percentage of dogs with high serum insulin concentrations was significantly greater in the hypertriglyceridemic group (28.6%) than it was in the control group (6.5%; odds ratio, 5.8; 95% confidence interval, 1.1 to 30.2). Median HOMA score for hypertriglyceridemic Miniature Schnauzers (4.9) was significantly higher than that for control dogs (2.8). Conclusions and Clinical Relevance—Results indicated that hypertriglyceridemia in Miniature Schnauzers is often associated with insulin resistance. Further studies are needed to determine the prevalence and clinical importance of insulin resistance in hypertriglyceridemic Miniature Schnauzers.

9 July 2013 in Journal of Feline Medicine and Surgery
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Journal Article
Closed access
PXPanagiotis G Xenoulis
Panagiotis G Xenoulis
DLDanielle J Lopinski
Danielle J Lopinski
SRSarah A Read
Sarah A Read
Jan SuchodolskiJan Suchodolski
Jan Suchodolski
JSJörg M Steiner
Jörg M Steiner
The clinical presentation and response to treatment of cats infected with Tritrichomonas foetus have not been sufficiently described in a large number of pet cats. The aim of this study was to collect and analyze clinical data from pet cats diagnosed with intestinal T foetus infection. Clinical information was collected for 104 cats that tested polymerase chain reaction-positive for T foetus. The most common clinical sign was diarrhea (98%) with a median duration of 135 days (range 1–2880 days). Forty-nine of 83 (59%) cats had diarrhea since adoption. Other clinical signs included anorexia (22%), depression (24%), weight loss or failure to gain weight (20%), vomiting (19%), abdominal pain (9%) and increased appetite (3%). A total of 45 cats had completed treatment with ronidazole, 29 of which (64%) showed a good clinical response to treatment. Sixteen (36%) cats had either partial or no improvement, or a relapse shortly after discontinuation of treatment.

1 January 2013 in BMC Veterinary Research
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PXPanagiotis G Xenoulis
Panagiotis G Xenoulis
PCPaul J Cammarata
Paul J Cammarata
RWRosemary Walzem
Rosemary Walzem
RMRonald D Macfarlane
Ronald D Macfarlane
Jan SuchodolskiJan Suchodolski
Jan Suchodolski
Joerg Manfred SteinerJoerg Manfred Steiner
Joerg Manfred Steiner
Despite the importance of abnormalities in lipoprotein metabolism in clinical canine medicine, the fact that most previously used methods for lipoprotein profiling are rather laborious and time-consuming has been a major obstacle to the wide clinical application and use of lipoprotein profiling in this species. The aim of the present study was to assess the feasibility of a continuous lipoprotein density profile (CLPDP) generated within a bismuth sodium ethylenediaminetetraacetic acid (NaBiEDTA) density gradient to characterize and compare the lipoprotein profiles of healthy dogs of various breeds, healthy Miniature Schnauzers, and Miniature Schnauzers with primary hypertriacylglycerolemia. A total of 35 healthy dogs of various breeds with serum triacylglycerol (TAG) and cholesterol concentrations within their respective reference intervals were selected for use as a reference population. Thirty-one Miniature Schnauzers with serum TAG and cholesterol concentrations within their respective reference intervals and 31 Miniature Schnauzers with hypertriacylglyceridemia were also included in the study.

6 October 2020 in Journal of Veterinary Internal Medicine
Verified
Journal Article
Open access
PDF file
PXPanagiotis G Xenoulis
Panagiotis G Xenoulis
PCPaul J. Cammarata
Paul J. Cammarata
RWRosemary L. Walzem
Rosemary L. Walzem
Jan SuchodolskiJan Suchodolski
Jan Suchodolski
Joerg Manfred SteinerJoerg Manfred Steiner
Joerg Manfred Steiner
Background Hypertriglyceridemia is common in Miniature Schnauzer (MS). Dietary management of hypertriglyceridemia is important, but no studies are available. Hypothesis/Objectives To evaluate the effect of a commercially available low‐fat diet on serum triglyceride and cholesterol concentrations and lipoprotein profiles in MS with hypertriglyceridemia. Animals Sixteen MS with hypertriglyceridemia and 28 MS without hypertriglyceridemia. Methods Prospective clinical trial. Four blood samples (1‐2 months before and 1 day before diet change and 2 and 3 months after the dogs were fed the low‐fat diet) were collected from the MS with hypertriglyceridemia. Results Serum triglyceride concentrations for the 2 samples after the diet change (median of sample 3 = 177 mg/dL; range, 48‐498; median of sample 4 = 168 mg/dL; range, 77‐745) were significantly lower than the 2 samples before the diet change (median of sample 1 = 480 mg/dL; range, 181‐1320; median of sample 2 = 493 mg/dL; range, 114‐1395; P < .001). Serum cholesterol concentrations for the 2 samples after the diet change (mean for sample 3 = 257 mg/dL, SD = 82.2; mean for sample 4 = 178 mg/dL, SD = 87.4) were also significantly lower than the 2 samples before the diet change (mean for sample 1 = 381 mg/dL, SD = 146.1; mean for sample 2 = 380 mg/dL, SD = 134.7; P < .001). Before the diet change, 15/16 (94%) of hyperlipidemic MS were classified as hyperlipidemic based on their lipoprotein profiles alone. After the diet change, significantly fewer MS (7/16; 44%; odds ratio = 19.3; 95% CI = 2.0‐184.0; P = .006) were classified as hyperlipidemic based on lipoprotein profile analysis. Conclusions and Clinical Importance The study diet was effective in reducing serum triglyceride and cholesterol concentrations and correcting lipoprotein profiles in MS with hypertriglyceridemia.