Zeeshan Javed
Zeeshan Javed
Department of Academic Diabetes, Endocrinology and Metabolism, Hull York Medical School, University of Hull, Hull, UK
Department of Endocrinology and Diabetes, Pakistan Kidney and Liver Institute and Research Centre, Knowledge City, Lahore, Pakistan
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Department of Endocrinology and Diabetes, Pakistan Kidney and Liver Institute and Research Centre, Knowledge City, Lahore, Pakistan
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Maria Papageorgiou
Maria Papageorgiou
Department of Academic Diabetes, Endocrinology and Metabolism, Hull York Medical School, University of Hull, Hull, UK
Division of Bone Diseases, Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
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Division of Bone Diseases, Geneva University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
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Leigh A Madden
Leigh A Madden
School of Life Sciences, University of Hull, Hull, UK
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Alan S Rigby
Alan S Rigby
Hull York Medical School, University of Hull, Hull, UK
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Eric S Kilpatrick
Eric S Kilpatrick
Department of Pathology, Sidra Medical and Research Center, Doha, Qatar
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Stephen L Atkin
Stephen L Atkin
Royal College of Surgeons in Ireland, Al Sayh, Bahrain
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Thozhukat Sathyapalan
Thozhukat Sathyapalan
Department of Academic Diabetes, Endocrinology and Metabolism, Hull York Medical School, University of Hull, Hull, UK
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deficiency, hyperprolactinaemia, Cushing’s disease and androgen-secreting tumours, pregnancy or intention to become pregnant, breastfeeding, documented use of oral hormonal contraceptives and hormone-releasing implants, metformin or other insulin
Nidan Qiao
Nidan Qiao
Department of Neurosurgery, Huashan Hospital, Shanghai Medical School, Fudan University, Shanghai, China
National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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Haixia Cheng
Haixia Cheng
Department of Pathology, Huashan Hospital, Shanghai Medical School, Shanghai, China
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Zhaoyun Zhang
Zhaoyun Zhang
Department of Endocrinology, Huashan Hospital, Shanghai Medical School, Shanghai, China
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Hongying Ye
Hongying Ye
Department of Endocrinology, Huashan Hospital, Shanghai Medical School, Shanghai, China
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Ming Shen
Ming Shen
Department of Neurosurgery, Huashan Hospital, Shanghai Medical School, Fudan University, Shanghai, China
National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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Xuefei Shou
Xuefei Shou
Department of Neurosurgery, Huashan Hospital, Shanghai Medical School, Fudan University, Shanghai, China
National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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Xiaoyun Cao
Xiaoyun Cao
Department of Neurosurgery, Huashan Hospital, Shanghai Medical School, Fudan University, Shanghai, China
National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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Hong Chen
Hong Chen
Department of Neurosurgery, Huashan Hospital, Shanghai Medical School, Fudan University, Shanghai, China
National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
Department of Pathology, Huashan Hospital, Shanghai Medical School, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
Department of Pathology, Huashan Hospital, Shanghai Medical School, Shanghai, China
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Xiang Zhou
Xiang Zhou
Department of Neurosurgery, Huashan Hospital, Shanghai Medical School, Fudan University, Shanghai, China
National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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Yongfei Wang
Yongfei Wang
Department of Neurosurgery, Huashan Hospital, Shanghai Medical School, Fudan University, Shanghai, China
National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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Yao Zhao
Yao Zhao
Department of Neurosurgery, Huashan Hospital, Shanghai Medical School, Fudan University, Shanghai, China
National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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National Center for Neurological Disorders, Shanghai, China
Shanghai Clinical Medical Center of Neurosurgery, Shanghai, China
Neurosurgical Institute of Fudan University, Shanghai, China
Shanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, China
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Beuschlein F Honegger J Beschorner R . Pituicytoma in a patient with Cushing’s disease: case report and review of the literature . Pituitary 2012 15 ( Supplement 1 ) S10 – S16 . ( https://doi.org/10.1007/s11102-010-0262-3 ) 12 Iglesias P
Kunzhe Lin
Kunzhe Lin
Department of Neurosurgery, Affiliated Fuzhou First Hospital of Fujian Medical University, Fuzhou, China
Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, China
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Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, China
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Lingling Lu
Lingling Lu
Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, China
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Zhijie Pei
Zhijie Pei
Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, China
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Shuwen Mu
Shuwen Mu
Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, China
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Shaokuan Huang
Shaokuan Huang
Department of Neurosurgery, Guiqian International General Hospital, Guiyang, China
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Shousen Wang
Shousen Wang
Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, China
Department of Neurosurgery, 900th Hospital, Fuzhou, China
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Department of Neurosurgery, 900th Hospital, Fuzhou, China
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therapy. Intraoperative stress doses of glucocorticoids were administered intravenously to all patients (except to those with Cushing’s disease) to prevent the rapid surgery-related decline in HPA axis functions. Patients with HPA axis and HPT axis
Stephanie Burger-Stritt
Stephanie Burger-Stritt
Endocrinology and Diabetes Unit, Department of Medicine I, University Hospital Wuerzburg, Wuerzburg, Germany
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Linda Bachmann
Linda Bachmann
Endocrinology and Diabetes Unit, Department of Medicine I, University Hospital Wuerzburg, Wuerzburg, Germany
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Max Kurlbaum
Max Kurlbaum
Endocrinology and Diabetes Unit, Department of Medicine I, University Hospital Wuerzburg, Wuerzburg, Germany
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Stefanie Hahner
Stefanie Hahner
Endocrinology and Diabetes Unit, Department of Medicine I, University Hospital Wuerzburg, Wuerzburg, Germany
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Hurley DM Funder JW Stockigt JR . Steroid replacement in Addison’s disease and in subjects adrenalectomized for Cushing’s disease: comparison of various glucocorticoids . Journal of Clinical Endocrinology and Metabolism 1982 55 551 – 559 . ( https
Jintao Hu
Jintao Hu
Department of Neurosurgery, Xinqiao Hospital, The Army Medical University, Chongqing, China
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Qingbo Chen
Qingbo Chen
Department of Neurosurgery, Xinqiao Hospital, The Army Medical University, Chongqing, China
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Xiao Ding
Xiao Ding
Department of Neurosurgery, Xinqiao Hospital, The Army Medical University, Chongqing, China
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Xin Zheng
Xin Zheng
Department of Neurosurgery, Xinqiao Hospital, The Army Medical University, Chongqing, China
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Xuefeng Tang
Xuefeng Tang
Department of Pathology, Xinqiao Hospital, The Army Medical University, Chongqing, China
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Song Li
Song Li
Department of Neurosurgery, Xinqiao Hospital, The Army Medical University, Chongqing, China
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Hui Yang
Hui Yang
Department of Neurosurgery, Xinqiao Hospital, The Army Medical University, Chongqing, China
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Background Pituitary adenoma (PA) is the second most common brain tumor. Except for prolactinoma, pituitary tumors associated with acromegaly (growth hormone-secreting) and Cushing’s disease (adrenocorticotropic hormone-secreting) as well as
Mark R Postma
Mark R Postma
Department of Endocrinology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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Pia Burman
Pia Burman
Department of Endocrinology, Skane University Hospital Malmö, University of Lund, Lund, Sweden
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André P van Beek
André P van Beek
Department of Endocrinology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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patients with a previous diagnosis of Cushing’s disease, acromegaly and craniopharyngioma because these conditions are known to affect body composition, cardiovascular risk factors and quality of life. For similar reasons of confounding bias, females
Eva Jakobsson Ung
Eva Jakobsson Ung
Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden
Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden
Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
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Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden
Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
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Ann-Charlotte Olofsson
Ann-Charlotte Olofsson
Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
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Ida Björkman
Ida Björkman
Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden
Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden
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Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden
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Tobias Hallén
Tobias Hallén
Department of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden
Institute of Neuroscience and Physiology, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden
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Institute of Neuroscience and Physiology, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden
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Daniel S Olsson
Daniel S Olsson
Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Oskar Ragnarsson
Oskar Ragnarsson
Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Thomas Skoglund
Thomas Skoglund
Department of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden
Institute of Neuroscience and Physiology, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden
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Institute of Neuroscience and Physiology, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden
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Sofie Jakobsson
Sofie Jakobsson
Institute of Health and Care Sciences, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden
Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden
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Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden
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Gudmundur Johannsson
Gudmundur Johannsson
Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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a 2 Other lesions in the pituitary b 4 Invasiveness (para sellar) 10 Surgical treatment Primary surgery, TS/TC 16/0 Re-surgery, TS/TC 2/1 a One patient with acromegaly and one with Cushing’s
Karim Gariani
Karim Gariani
Service of Endocrinology, Diabetes, Hypertension and Nutrition, Geneva University Hospitals, Geneva, Switzerland
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Pedro Marques-Vidal
Pedro Marques-Vidal
Departments of Medicine and Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland
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Gérard Waeber
Gérard Waeber
Departments of Medicine and Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland
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Peter Vollenweider
Peter Vollenweider
Departments of Medicine and Internal Medicine, Lausanne University Hospital, Lausanne, Switzerland
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François R Jornayvaz
François R Jornayvaz
Service of Endocrinology, Diabetes, Hypertension and Nutrition, Geneva University Hospitals, Geneva, Switzerland
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; F R J analyzed data and wrote part of the manuscript. P M V had full access to the data and is the guarantor of the study. References 1 Clayton RN Raskauskiene D Reulen RC Jones PW . Mortality and morbidity in Cushing’s disease
Kathrin R Frey
Kathrin R Frey
Department of Medicine I, Endocrine and Diabetes Unit, University Hospital, University of Würzburg, Würzburg, Germany
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Tina Kienitz
Tina Kienitz
Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
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Julia Schulz
Julia Schulz
Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
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Manfred Ventz
Manfred Ventz
Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
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Kathrin Zopf
Kathrin Zopf
Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
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Marcus Quinkler
Marcus Quinkler
Endocrinology in Charlottenburg, Berlin, Germany
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adrenalectomized for Cushing’s disease: comparison of various glucocorticoids . Journal of Clinical Endocrinology and Metabolism 1982 55 551 – 559 . ( https://doi.org/10.1210/jcem-55-3-551 ) 10.1210/jcem-55-3-551 41 Frara S Chiloiro S Porcelli T
Anne-Sophie C A M Koning
Anne-Sophie C A M Koning
Division of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands
Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Philippe C Habets
Philippe C Habets
Division of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands
Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Marit Bogaards
Marit Bogaards
Division of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands
Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Jan Kroon
Jan Kroon
Division of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands
Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Hanneke M van Santen
Hanneke M van Santen
Department of Pediatric Endocrinology, Wilhelmina Children’s Hospital, University Medical Center Utrecht, Utrecht, The Netherlands
Department of Pediatric Neuro-Oncology, Prinses Máxima Centrum, Utrecht, The Netherlands
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Department of Pediatric Neuro-Oncology, Prinses Máxima Centrum, Utrecht, The Netherlands
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Judith M de Bont
Judith M de Bont
Department of Pediatric Neuro-Oncology, Prinses Máxima Centrum, Utrecht, The Netherlands
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Onno C Meijer
Onno C Meijer
Division of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands
Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Center, Leiden, The Netherlands
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of cortisol, lower activation of MR. While chronically elevated cortisol in Cushing’s disease may also lead to psychiatric complaints, next to the strongly activated GR, the reduced MR activity caused by synthetic glucocorticoids might contribute to
