Reduction of cortisol levels after single intra-articular and intramuscular steroid injection

Autor: Ivan Zgradic, Barry L. Myones, William I. Swedler, Gordana Djordjevic-Denic, John L. Skosey, Milenko B. Lazarevic
Rok vydání: 1995
Předmět:
Zdroj: The American journal of medicine. 99(4)
ISSN: 0002-9343
Popis: BACKGROUND : This study was undertaken to determine the influence of single intra-articular or intra muscular injections of methylprednisolone acetate on the hypothalamic-pituitary-adrenal axis. PATIENTS AND METHODS : Twenty-one patients with rheumatic disease who had never been treated with systemic glucocorticoids and had not received local injections of these agents for the preceding 2 months, were given 40 mg of methylprednisolone acetate. Group I (11 patients) received one intra-articular injection into the knee, and Group II (10 patients) received the same dose intramuscularly. RESULTS : In Group I, serum cortisol levels were significantly decreased 24 hours after injection (228.2 ± 8.7 nmol/L versus 193 ± 16.3 nmol/L ; P
Databáze: OpenAIRE