Intramuscular Short-term ACTH Test for the Determination of Adrenal Function in Children: Safe, Effective and Reliable

Autor: Elif Özsu, Zeynep Şıklar, Esra Bilici, Ayşegül Ceran, Rukiye Uyanık, Tuğba Çetin, Zehra Aycan, Merih Berberoğlu
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: JCRPE, Vol 12, Iss 3, Pp 241-247 (2020)
Druh dokumentu: article
ISSN: 1308-5727
1308-5735
DOI: 10.4274/jcrpe.galenos.2019.2019.0099
Popis: Objective:Standard short adrenocorticotropic hormone (ACTH) stimulation test (SST) has traditionally been used for assessing adrenal gland fuction by intravenous (iv) application. However the iv form is not readily available in all countries, including Turkey. The aim of this study was to evaluate the effectiveness of the intramuscular (im) SST.Methods:Patients underwent im SST with suspected adrenal insufficiency (AI) and hyperandrogenism. The SSTs were done with 250 mcg ACTH (Synacthen Depot ampul, concentration 1 mg/mL). The cases were divided into two groups: suspected AI (group 1 n=87); and hyperandrogenism group (group 2 n=124). Definite AI was defined as peak cortisol
Databáze: Directory of Open Access Journals