The pituitary-adrenal axis in idiopathic retinal vasculitis

Autor: M J Wheeler, E M Graham, C Lowy, H E Palmer, G R Wallace, Miles Stanford
Rok vydání: 1999
Předmět:
Zdroj: British Journal of Ophthalmology. 83:1393-1395
ISSN: 0007-1161
DOI: 10.1136/bjo.83.12.1393
Popis: AIMS—To determine whether patients with idiopathic retinal vasculitis have altered production of cortisol and dehydroepiandrosterone sulphate (DHEA-S), and whether differences in these variables occur between those who are sensitive (SS) and resistant (SR) to steroids. METHODS—20 patients with retinal vasculitis (off treatment) and 10 control subjects were prospectively recruited. Morning cortisol and DHEA-S levels were measured, and cortisol secretion rates and short synacthen tests (SST) carried out in patients before treatment, when on prednisolone 20 mg/day, and in controls. RESULTS—There were no differences in any variables between patients and controls. For retinal vasculitis patients pretreatment, the SST was lower in SR patients (p=0.02). More of the SR patients had ischaemic retinal vasculitis ( p
Databáze: OpenAIRE