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Measurements of Serum DHEA and DHEA Sulphate Levels Improve the Accuracy of the Low-Dose Cosyntropin Test in the Diagnosis of Central Adrenal Insufficiency
Author(s) -
Laure Sayyed Kassem,
Katia El Sibai,
Joumana Chaiban,
Dima Abdelmannan,
Baha M. Arafah
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.2012-1806
Subject(s) - cosyntropin , dehydroepiandrosterone , dehydroepiandrosterone sulfate , medicine , adrenal insufficiency , endocrinology , stimulation , hydrocortisone , acth stimulation test , adrenocorticotropic hormone , hormone , androgen
The diagnosis of central adrenal insufficiency (AI) continues to be challenging, especially when it is partial. We have recently demonstrated the value of measuring serum dehydroepiandrosterone sulfate (DHEA-S) in establishing the diagnosis of central AI. The current investigation examined the added value of measuring serum dehydroepiandrosterone (DHEA) levels during low-dose (1 μg) cosyntropin (LDC) stimulation in patients suspected to have central AI.

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