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Federico Orozco*
Autor invitado por SIIC

La insuficiencia suprarrenal relativa es frecuente en pacientes cirróticos estables que presentan un mayor deterioro de la función hepática.

Cronicas de autores PREVALENCIA DE LA INSUFICIENCIA SUPRARRENAL RELATIVA Y SUPERVIVENCIA EN PACIENTES CON CIRROSIS ESTABLE

La insuficiencia suprarrenal relativa es frecuente en pacientes cirróticos estables que presentan un mayor deterioro de la función hepática, debiendo ser considerado como complicación de la enfermedad debido a la disminución en la supervivencia de los pacientes que presentan este trastorno endocrino. Por otra parte, debe considerarse el cortisol salival como una alternativa en el diagnóstico, ya que existe correación entre sus niveles con los del cortisol plasmático basal.
*Federico Orozco
describe para SIIC los aspectos relevantes de su trabajo
INSUFICIENCIA SUPRARRENAL RELATIVA EN PACIENTES CIRRÓTICOS

Medicina Buenos Aires,
76(4):208-212

Esta revista, clasificada por SIIC Data Bases, integra el acervo bibliográfico
de la Biblioteca Biomédica (BB) SIIC.
Institución principal de la investigación
*Hospital Alemán de Buenos Aires, Ciudad de Buenos Aires, Argentina
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Referencias bibliográficas
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28. Dunn JF, Nisula BC, Rodbard D. Transport of steroid hormones: binding of 21 endogenous steroids to both testosterone-binding globulin and corticosteroid-binding globulin in human plasma. J Clin Endocrinol Metab 53:58-68, 1981.
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31. Mendel CM, Kuhn RW, Weisiger RA, et al. Uptake of cortisol by the perfused rat liver: validity of the free hormone hypothesis applied to cortisol. Endocrinology 124:468-476, 1989.
32. Mendel CM, Miller MB, Siiteri PK, Murai JT. Rates of dissociation of steroid and thyroid hormones from human serum albumin. J Steroid Biochem Mol Biol 37:245-250, 1990.
33. Davidson JS, Bolland MJ, Croxson MS, Chiu W, Lewis JG. A case of low cortisol-binding globulin: use of plasma free cortisol in interpretation of hypothalamic-pituitary-adrenal axis tests. Ann Clin Biochem 43:237-239, 2006.
34. Raff H, Raff JL, Findling JW. Late-night salivary cortisol as a screening test for Cushing's syndrome. J Clin Endocrinol Metab 83(8):2681- 2686, 1998.
35. Deutschbem T, Broecker-Preuss M, Flitsch F, et al. Salivary cortisol as a diagnostic tool for hyper and hypocortisolism improved screening by an automated immunoassay. Endocrine Reviews 32 (03_Meeting Abstracts) P3-569, 2001.
36. Carrasco C, García M, Goycochea M, et al. Reproducibility of late-night salivary cortisol using an automated immunoassay system and performance of one or two sample in the diagnosis of Cushing Syndrome. Endocrine Reviews 32 (03_Meeting Abstracts) P3-570, 2011.
Autor invitado
26 de diciembre, 2016
Descripción aprobada
17 de marzo, 2017
Reedición siicsalud
11 de abril, 2017

Acerca del trabajo completo
PREVALENCIA DE LA INSUFICIENCIA SUPRARRENAL RELATIVA Y SUPERVIVENCIA EN PACIENTES CON CIRROSIS ESTABLE
Título original en castellano
ADRENAL INSUFFICIENCY IN CIRRHOTIC PATIENTS
Autores
Federico Orozco1, Margarita Anders2, Jose Mella3, Florencia Antinucci4, Patricia Pagano5, Paula Esteban6, Mariano Cartier7, Gustavo Romero8, Ricardo Mastai9
1 Medico Hepatologo, Hospital Alemán de Buenos Aires, Ciudad de Buenos Aires, Argentina, Médico de Planta de la Unidad de Hepatol
2 Medica Hepatologa, Hospital Aleman de Buenos Aires, Medica de Planta
3 Medico, Hospital Aleman de Buenos Aires, Medico de Planta
4 Medica Hepatologa, Hospital Aleman de Buenos Aires, Medica de Planta
5 Bioquimica, Hospital Aleman de Buenos Aires, Bioquimica
6 Bioquimica, Hospital Aleman de Buenos Aires, Bioquimica
7 Medico, Hospital Bonorino Udaondo, Medico de Planta
8 Medico, Hospital Bonorino Udaondo, Jefe de Hepatologia
9 Medico Hepatologo, Hospital Aleman de Buenos Aires, Jefe de la Unidad de Hepatologia y Trasp
Acceso a la fuente original
Medicina Buenos Aires
http://www.medicinabuenosaires.com

Acceso al texto original completo (full text)
medicinabuenosaires.com

Acceso al resumen/abstract original
https://www.ncbi.nlm.nih.gov/pubmed/27576278

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