Impact of Duration of Critical Illness on the Adrenal Glands of Human Intensive Care Patients
Author(s) -
Eva Boonen,
Lies Langouche,
Thomas Janssens,
Philippe Meersseman,
Hilke Vervenne,
Emilie De Samblanx,
Zoë Pironet,
Lisa Van Dijck,
Sarah Vander Perre,
Inge Derese,
Greet Van den Berghe
Publication year - 2014
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.2014-2429
Subject(s) - medicine , endocrinology , adrenal insufficiency , intensive care unit , adrenal cortex , glucocorticoid receptor , intensive care , adrenocorticotropic hormone , stimulation , h&e stain , steroidogenic acute regulatory protein , glucocorticoid , hormone , immunohistochemistry , biology , gene expression , intensive care medicine , biochemistry , gene
Adrenal insufficiency is considered to be prevalent during critical illness, although the pathophysiology, diagnostic criteria, and optimal therapeutic strategy remain controversial. During critical illness, reduced cortisol breakdown contributes substantially to elevated plasma cortisol and low plasma ACTH concentrations.
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