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Diagnostic Value of Salivary Cortisol in the CRH Stimulation Test in Premature Infants
Author(s) -
Takashi Matsukura,
Masahiko Kawai,
Chieko Marumo,
Kougoro Iwanaga,
Kayo Yoshida,
Minoru Shibata,
Fusako Niwa,
Takeshi Hasegawa,
Toshio Heike
Publication year - 2012
Publication title -
the journal of clinical endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.206
H-Index - 353
eISSN - 1945-7197
pISSN - 0021-972X
DOI - 10.1210/jc.2011-1814
Subject(s) - saliva , medicine , endocrinology , gestational age , glucocorticoid , corticotropin releasing hormone , hydrocortisone , adrenal insufficiency , hormone , physiology , pregnancy , biology , genetics
According to a recent nationwide survey in Japan, a significant proportion of very low birth weight infants (VLBWI) develop late-onset circulatory collapse after the first week of life. Small doses of glucocorticoid are very effective in these patients, and relative adrenal insufficiency is suspected to be the main cause of the condition. Although the CRH test is required to evaluate the hypothalamic-pituitary-adrenal axis, obtaining multiple blood samples is invasive.

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