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has surfaced, wherein certain studies have documented inadequately low cortisol levels ( 4 , 5 , 6 ). The latter has partly been attributed to critical illness-related corticosteroid insufficiency (CIRCI), a recurring phenomenon in patients with
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equivalent to a prednisolone dose of 2–4 mg once daily. This may be because prednisolone has half the affinity for corticosteroid-binding globulin as compared to cortisol, and therefore higher concentrations of unbound prednisolone are present ( 10
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stress-related cortisol rise by the interference of antibodies directed against those viral antigens with the host’s natural secretion of corticosteroids ( 8 ). Recent studies in patients with SARS-CoV-2 infections confirmed significantly impaired
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