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dysfunctional humoral immune response. In general, BD might be regarded an immune-mediated inflammatory disease. Glucocorticoids (GC) play a key role in mediating a balanced inflammatory response. GCs exert their effects via interaction with the GC receptor (GR
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common in women and in those aged between 30 and 50 years old ( 2 ), although it can present at any age. Patients with AI need to take daily life-long medication. This consists of a glucocorticoid, typically hydrocortisone (HC) or prednisolone, and in
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Department of Endocrinology, Diabetes and Metabolic diseases, Elias Hospital, Bucharest, Romania
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Department of Endocrinology, Diabetes and Metabolic diseases, Elias Hospital, Bucharest, Romania
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previously conducted ( 3 ). Many factors are associated with decreased BMD, one of which is the use of high-dose glucocorticoids. A Swiss IBD cohort study has reported an increased percentage of steroid use in IBD patients with osteoporosis (79.2%) and
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the first-line administration in the active stage, and intravenous glucocorticoids (GC) have been the mainstay of treatment for moderate-to-severe and active cases ( 2 ). However, the response rate of intravenous GC was reported as only 70–80% ( 3 , 4
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Introduction Recently, we have found that during critical illness, the well-known constellation of ‘low plasma ACTH in the face of increased systemic glucocorticoid availability’ coincides with a substantial increase in plasma concentrations
Department of Endocrinology, Imperial College Healthcare NHS Trust, London, UK
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Department of Endocrinology, Imperial College Healthcare NHS Trust, London, UK
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Department of Endocrinology, Imperial College Healthcare NHS Trust, London, UK
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Department of Endocrinology, Imperial College Healthcare NHS Trust, London, UK
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Introduction Between 1928 and 1938, patients with Addison’s disease had a 100% 5-year mortality ( 1 ). With the availability of glucocorticoid replacement therapy, initially with animal adrenocortical extract and later synthetic 11
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profiles in adult patients with 21-hydroxylase deficiency have shown a substantial circadian rhythm highly influenced by glucocorticoid replacement ( 6 ). Most recent clinical guideline from the US Endocrine Society suggests levels of androstenedione and 17
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DES induced an intrauterine growth restriction of pups in the placentas ( 6 ). However, the mechanism has not been fully elucidated. Figure 1 Chemical structure of cortisol and diethylstilbestrol. Glucocorticoid hormone is an inducing
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Department of Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
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Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA
Harvard Medical School, Boston, Massachusetts, USA
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). Glucocorticoids also have a negative impact on the Wnt/β-catenin pathway leading to an imbalance in bone formation and bone resorption, and thereby contributing to glucocorticoid-induced osteoporosis ( 1 , 3 , 10 , 11 , 12 , 13 ). In mice, glucocorticoids
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Department of Endocrinology, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
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insufficient to meet the body’s needs. Overt mineralocorticoid deficiency causes the characteristic presentation of salt craving, postural hypotension, hyponatraemia and hyperkalaemia. Glucocorticoid deficiency causes loss of appetite, early satiety, weight