CAUSAS DE HIPERCORTISOLISMO PDF

CAUSAS DE HIPERCORTISOLISMO PDF

not necessarily reflect the services provided by this practice/facility. Vuelta. DefiniciónCausasFactores de riesgoSíntomasDiagnósticoTratamiento Prevención. La hipófisis fabrica varias hormonas, entre ellas la adrenocorticotropa (ACTH). El tumor hipofisario causa una superproducción de ACTH, que. La causa más habitual de hipercortisolismo es la exógena o farmacológica. Dentro de las causas endógenas pueden ser AcTH dependientes (por ejemplo.

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Romanholi; Luiz Roberto Salgado. Pseudo-Cushing syndromes are a heterogeneous group of disorders, including alcoholism, anorexia nervosa, causa obesity, and depression, which share many of the clinical and biochemical features of Cushing’s syndrome.

The mechanisms responsible for the genesis of pseudo-Cushing’s syndrome are poorly understood. The substantial overlap in clinical and biochemical features among several patients with Cushing caausas and those with pseudo-Cushing syndromes can make the differential diagnosis difficult. Distinguishing between pseudo-Cushing’s syndrome and true Cushing’s syndrome is critical for preventing the unnecessary and potentially harmful treatment of such patients.

This brief review summarizes the main pathophysiological events of pseudo-Cushing syndromes and provides a useful strategy for differential diagnosis. Em trabalho de Elias e cols. Entretanto, Mac Donald e cols. Em estudo realizado por Papanicolaou e cols.

Cortisol salivar F sal.

Medidas do cortisol na saliva apresentam diversas vantagens, dentre elas: Num estudo realizado por Duellos e cols. Nenhum paciente portador de outras etiologias de SC apresentou respostas a esse teste. Recentemente, Coiro e cols. Descrito em por Yanovski e cols.

EmDuelos e cols. Em seu estudo foram avaliadas 19 mulheres portadoras de anorexia nervosa pareadas com um grupo controle. EmInder e cols. The diagnosis and differential diagnosis of Cushing’s syndrome and pseudo-Cushing’s states. Endocr Rev ; 19 5: The dexamethasone-suppressed corticotropin-releasing hormone stimulation test and the desmopressin test to distinguish Cushing’s syndrome from pseudo-Cushing’s states.

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Clin Endocrinol ; 66 2: The desmopressin test in the differential diagnosis between Cushing’s disease and pseudo-Cushing States. J Clin Endocrinol Metab ;85 A single midnight serum cortisol measurement distinguishes Cushing’s syndrome from pseudo-Cushing states. J Clin Endocrinol Metabolism ;83 4: Hormone secretion in alcohol-induced pseudo-Cushing’s syndrome. Differential diagnosis with Cushing disease. Alterations in the hypothalamic-pituitary-adrenal axis in actively drinking alcoholics.

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Int J Clin Pharmacol Ther ;36 9: Does central obesity reflect ‘Cushing’s disease of the omentum’?

Adrenal venous sampling in a patient with adrenal Cushing syndrome.

Lancet ; Mechanisms of dysregulation of 11 beta-hydroxysteroid dehydrogenase type 1 in obese Zucker rats. J Endocrinol ; 3: A transgenic model of visceral obesity and the metabolic syndrome.

Science ; Tissue-specific dysregulation of cortisol metabolism hipwrcortisolismo human obesity. J Clin Endocrinol Metab ;86 3: An in vivo study of the cortisol-cortisone shuttle in subcutaneous abdominal adipose tissue. Clin Endocrinol ; Regulation of 11beta-HSD genes in human adipose tissue: Obes Res ;12 1: Promoting effect of glucocorticoids on the differentiation of human adipocyte precursor cells cultured in a chemically defined medium.

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Br Med J ; J Clin Gastroenterol ;4 2: Effect of alcohol on microsomal cortisol and 5-alpha reductase in the liver of rats that are on a standard or low protein diet. Horm Metab Res ; Effect of acute hipercorfisolismo intake on plasma ll-hydroxycorticosteroid levels. Acute effects of alcohol on the anterior pituitary secretion of the tropic hormones. Effects of acute and repeated alcohol ingestion on hypothalamic-pituitary-gonadal and hypothalamic-pituitary-adrenal functioning in normal males.

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Drug Alcohol Depend ; Effects of ethanol and acetaldehyde nipercortisolismo the rat adrenal. J Clin Gastroenterol ;4: Ethanol exposure decreases pituitary corticotropin-releasing factor binding, adenylate cyclase activity, proopiomelanocortin biosynthesis and plasma kendorphin levels in the rat. J Pharmacol Exp Ther ; The hypophyseal-adrenal axis in chronic alcoholism.

Adrenal venous sampling in a patient with adrenal Cushing syndrome.

Source Medicinski Pregled ;49 Severity of alcoholic liver disease and markers of thyroid and steroid status. Postgrad Med ; Hypothalamic-pituitary adrenal function in end-stage non-alcoholic liver disease. J Gastroenterol Hepato ; Modulation of pituitary-adrenocortical function: Hipercortisoliismo metabolism in chronic liver disease.

Pituitary-adrenal axis rhythm disturbances in psychiatric depression. Arch Gen Psychiatry ; The oCRH stimulation test before and after clinical recovery from depression.

J Affect Disord ; Differences in plasma ACTH vausas cortisol between depressed patients and normal controls.

Biol Psychiatry ; Increased number of vasopressin- and oxytocin-expressing neurons in the paraventricular nucleus of the hypothalamus in depression. Arch Gen Psychiat ; Increased numbers of corticotropin-releasing hormone expressing neurons in the hypothalamic paraventricular nucleus of depressed patients. Neuroendocrinology ; J Psychiat Res ; Von Bardeleben U, Holsboer F. J Neuroendocrinol ;1: Cerebrospinal fluid corticotropin-releasing factor CRF and vasopressin concentrations predict pituitary response in the CRF stimulation test: Alterations in serum cortisol and its binding characteristics in anorexia nervosa.