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Journal of Clinical Endocrinology & Metabolism, Vol 47, 667-670, Copyright © 1978 by Endocrine Society
ARTICLES |
JF Caro, AW Meikle, JH Check and SN Cohen
The adrenal cortical function of a patient with pituitary-dependent Cushing's syndrome exhibited normal responsiveness to conventional doses of dexamethasone (Dex) over several years of evaluation. "Periodic hormonogenesis" did not seem to explain the phenomenon. Plasma concentrations of Dex were measured to ascertain whether an abnormality in Dex metabolism might explain the apparent discrepancy in Dex responsiveness. Plasma levels of Dex after oral administration of the steroid were higher than normal, suggesting that decreased clearance of Dex accounts for the phenomenon of "normal suppression" in this patient with Cushing's syndrome.
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J. A. Yanovski, G. B. Cutler Jr., G. P. Chrousos, and L. K. Nieman The Dexamethasone-Suppressed Corticotropin-Releasing Hormone Stimulation Test Differentiates Mild Cushing's Disease from Normal Physiology J. Clin. Endocrinol. Metab., February 1, 1998; 83(2): 348 - 352. [Abstract] [Full Text] |
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