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At least 1,009 records · Page 56Linked to original sources
PubMed1992

Delayed orthostatic intolerance.

In seven patients who presented with lightheadedness, fatigue, "weakness," and sometimes syncope, blood pressure was found not to fall after standing for 3 to 4 minutes but to fall severely, frequently with syncope or presyncopal symptoms, after 13 to 30 minutes when measured every minute with an automatic device. This delayed orthostatic hypotension could be corrected with inflation of a pressure suit to 45 mm Hg. Its mechanism was further investigated with measurements of plasma catecholamines, plasma cortisol and aldosterone responses to corticotropin, and the effects of norepinephrine infusions on blood pressure and venous contractility. There was normal or excessive orthostatic norepinephrine release in all patients, evidence of impaired venous innervation in the legs in some, and various disorders in the other patients. Since therapeutic improvement in the orthostatic hypotension greatly reduced the symptoms, we concluded that orthostatic hypotension occurring after more than 10 minutes of standing is a potentially debilitating and often correctable disorder.

Adrenal Cortex Function Tests↗
PubMed1975

Cortisol secretion in Nelson syndrome: Persistence after "total" adrenalectomy for Cushing syndrome.

In two patients who were severely pigmented (Nelson syndrome) following bilateral adrenalectomy for Cushing syndrome, symptoms of hyper-cortisolism developed while they were receiving only physiologic steroid replacement. Cortical assays proved that endogenous cortisol production had not been obliterated. Even after total adrenalectomy, steroid measurement should be performed to guard against adrenocortical excess.

17-Hydroxycorticosteroids↗
PubMed1991

[Adrenocortical function in children with connective tissue syndromes and funnel chest deformation].

Measurement of the content of C-21-corticosteroids in the diurnal urine by thin-layer chromatography has demonstrated that in children with isolated and syndromal forms of funnel-like chest deformation, grades II and III, adrenocortical function is decreased. In preschool children, such a decrease is accompanied by proneness to the tense biosynthesis of glucocorticoids. Children with congenital hereditary connective syndromes manifest adrenocortical dysfunction, most characteristic of Marfan's syndrome, and, to a less degree, of Ehlers-Danlos syndrome and unclassified complex of developmental defects with the Marfan-like phenotype. In view of this fact, the children with Marfan's, Ehlers-Danlos syndromes and with the unclassified complex of developmental defects with the Marfan-like phenotype and children with funnel-like chest deformation, grades II and III, should be given glucocorticoid hormones in stressful conditions (severe diseases, traumas, operations).

Adolescent↗
PubMed1978

Estimating adrenal cortical function in dogs with ACTH.

The peripheral blood response to intramuscular injection of 10 units ACTH in dogs was investigated because no experimental evidence for the standardization of this procedure for clinical use was available. Following the injection of ACTH in sodium chloride solution, neutrophilia, monocytosis, eosinopenia, and lymphopenia occurred. With the exception of eosinopenia, the greatest change in the concentration of each cell type in peripheral blood occurred between 2 and 4 hours post injection. The maximum change in eosinophil numbers occurred between 4 and 6 hours post injection. When all cell types were considered, 4 hours post injection was the most suitable time to measure the cellular response in peripheral blood in dogs which respond to ACTH. The data indicate that change in the ratio of neutrophils to lymphocytes (N/L) prior to and at 2 to 4 hours after ACTH injection in normal dogs was a sensitive index of response and occured sooner than eosinopenia. The extent of change in the N/L ratio was such that accuracy in interpretation could be obtained by counting as few as 40 cells.

Adrenal Cortex↗
PubMed1979

Effect of dexamethasone and ACTH on the secretion pattern of fractionated 17-ketosteroids in hirsutism.

Urinary steroid fractionations of 17-ketosteroids were carried out in 3 normally-ovulating young women and in 2 women with hirsutism. Dehydroepiandrosterone, aetiocholanolone, androsterone, 11 beta-hydroxyaetiocholanolone, 11 beta-hydroxyandrosterone, 11-oxoaetiocholanolone and 11-oxondrosterone were determined quantitatively by paper chromatography. Both patients had decreased levels of 11-deoxy and 11-oxy-17-ketosteroids compared with the normals. The ready suppression of 11-oxy-17-ketosteroids and the poor suppression of 11-deoxy-17-ketosteroids by dexamethasone in both patients suggests an ovarian origin of 11-deoxy-17-ketosteroids. Supporting evidence for an ovarian origin in Case 1 was furnished by the poor suppression of testosterone by dexamethasone and lack of response to ACTH stimulation of the adrenal glands. The presented data emphasize that the precursor of 11-deoxy-17-ketosteroids of ovarian origin, possibly testosterone, may well be the cause of hirsutism in both patients.

17-Ketosteroids↗
PubMedDate not supplied

Cushing's disease and prolonged spontaneous remission. Clinical case.

We describe a case of prolonged spontaneous remission of Cushing's disease lasting since 1986 and documented both clinically and biochemically. This case confirms previous sporadic observations based mainly on clinical findings and indicates that spontaneous remission of Cushing's disease, although rare, may exist. The Authors outline that in some cases of Cushing's disease it could be convenient to adopt a conservative policy with frequent outpatient reviews in order to observe the natural course of the disease, particularly when the clinical findings are mild and the original lesion is not recognized with the available technology.

Adrenal Cortex Function Tests↗
PubMed1989

[Effect of color mutation on the function of the adrenal cortex in chronic feed stress in American mink].

Effect of color mutations, headlund and aleutian, on the adrenocortical function was studied in American mink under stress conditions. The adrenocortical function was analysed in the course of gland's incubation in vitro. Natural environmental factors (sharp fall of temperature) and artificially limited feed served as stress factors. It was shown that minks heterozygous for color mutant alleles studied were more resistant to the stressors. This is associated with genetically mediated peculiarities of the action of hypophysial adrenocortical system which is characterized by more adequate reactivity towards stimuli acting. Thus, the effect of heterosis in minks heterozygous for color alleles may well be caused by their increased resistance to stress.

Adrenal Cortex↗
PubMed1989

[Addison's disease as a continuously difficult diagnostic problem].

A case of latent adrenocortical insufficiency is described, which had various masks in the initial period. The progressing course of the disease and two operations as well as other trials of elucidating the cause of the disease failed to give the final diagnosis. Only an adrenocortical crisis during virus hepatitis confirmed the earlier suspicion of Addison's disease.

Addison Disease↗
PubMed1987

Plasma endogenous ACTH concentrations and plasma cortisol responses to synthetic ACTH and dexamethasone sodium phosphate in healthy cats.

Plasma cortisol responses of 19 healthy cats to synthetic ACTH and dexamethasone sodium phosphate (DSP) were evaluated. After administration of 0.125 mg (n = 5) or 0.25 mg (n = 6) of synthetic ACTH, IM, mean plasma cortisol concentrations increased significantly (P less than 0.05) at 15 minutes, reached a peak at 30 minutes, and decreased progressively to base-line values by 120 minutes. There was no significant difference (P greater than 0.05) between responses resulting from the 2 dosage rates. After administration of 1 mg of DSP/kg of body weight, IV (n = 7), mean plasma cortisol concentrations decreased at postadministration hour (PAH) 1, and were significantly lower than control cortisol concentrations at PAH 4, 6, 8, 10, and 12 (P less than 0.01). Administration of 0.1 mg of DSP/kg, IV (n = 8) or 0.01 mg of DSP/kg, IV (n = 14) induced results that were similar, but less consistent than those after the 1 mg of DSP/kg dosage. Mean plasma cortisol concentrations returned to base-line values by PAH 24. There was not a significant difference between the 3 doses (P greater than 0.05) at most times. Measurement of endogenous ACTH in 16 healthy cats revealed plasma ACTH of less than 20 to 61 pg/ml. Seemingly, administration of synthetic ACTH consistently induced a significant (P less than 0.05) adrenocortical response in healthy cats. On the basis of time-response studies, post-ACTH stimulation cortisol samples should be collected at 30 minutes after ACTH administration to ensure detection of peak adrenocortical response.(ABSTRACT TRUNCATED AT 250 WORDS)

Adrenal Cortex Function Tests↗