Open AccessSecondary Adrenal Insufficiency and Growth Hormone Deficiency in Patients with Fibromyalgia
Author(s) -
Lucinda Gruber,
Sanjiv Nanda,
Todd B. Nippoldt,
Alice Y.W. Chang,
Irina Bancos
Publication year - 2021
Publication title -
journal of pain research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 49
ISSN - 1178-7090
DOI - 10.2147/jpr.s302291
Subject(s) - medicine , cosyntropin , adrenal insufficiency , fibromyalgia , insulin tolerance test , glucocorticoid , concomitant , hypopituitarism , endocrinology , acth stimulation test , hydrocortisone , adrenocorticotropic hormone , stimulation , hormone , insulin , insulin resistance , insulin sensitivity
Patients with fibromyalgia (FM) may demonstrate low cortisol concentrations during diagnostic evaluation. However, it remains unclear whether low cortisol reflects underlying pituitary dysfunction. We aimed to determine if a subset of patients with FM have concomitant secondary adrenal insufficiency (SAI) and growth hormone deficiency (GH).