Literature DB >> 14247710

CLINICAL VALUE OF THE CORTISOL SECRETION RATE.

C L COPE, J PEARSON.   

Abstract

The isotopic estimation of the cortisol secretion rate in man is now an accepted and reliable method of assaying adrenal cortical function.Seven years' experience with its clinical use is reviewed and some practical aspects of technique are considered. The mean normal resting cortisol secretion rate is 16.2 +/- 5.7 mg. daily. In all of 14 cases of hypopituitarism studied secretion has been less than 2.1 mg. daily. In all of 26 cases of established Cushing's syndrome, the cortisol secretion was above 36 mg. The method can be used to follow day-by-day changes in adrenal cortisol activity and examples of such use are given. The urinary 17-ketogenic steroid excretion frequently gives results which conflict with secretion rate estimates, and can lead to erroneous clinical conclusions.

Entities:  

Keywords:  17-KETOSTEROIDS; ADDISON'S DISEASE; ADRENAL CORTEX HORMONES; ADRENAL GLAND HYPERFUNCTION; CARBON ISOTOPES; CUSHING'S SYNDROME; HYDROCORTISONE; HYPOPITUITARISM; PHYSIOLOGY; PITUITARY-ADRENAL FUNCTION TESTS; TRITIUM; URINE

Mesh:

Substances:

Year:  1965        PMID: 14247710      PMCID: PMC472837          DOI: 10.1136/jcp.18.1.82

Source DB:  PubMed          Journal:  J Clin Pathol        ISSN: 0021-9746            Impact factor:   3.411


  9 in total

1.  STUDY OF ADRENOCORTICAL FUNCTION IN OBESITY.

Authors:  C J MIGEON; O C GREEN; J P ECKERT
Journal:  Metabolism       Date:  1963-08       Impact factor: 8.694

2.  ALDOSTERONE SECRETION IN SEVERE RENAL FAILURE.

Authors:  C L COPE; J PEARSON
Journal:  Clin Sci       Date:  1963-10       Impact factor: 6.124

3.  The determination of cortisol and corticosterone production rates by an isotope dilution method.

Authors:  M VAN DER STRAETEN; A VERMEULEN; N ORIE
Journal:  Acta Endocrinol (Copenh)       Date:  1963-07

4.  An investigation of the urinary metabolites and secretion rates of aldosterone and cortisol in man and a description of methods for their measurement.

Authors:  C FLOOD; D S LAYNE; S RAMCHARAN; E ROSSIPAL; J F TAIT; S A TAIT
Journal:  Acta Endocrinol (Copenh)       Date:  1961-02

5.  The behaviour of 14c-cortisol and estimation of cortisol production rate in man.

Authors:  C L COPE; E G BLACK
Journal:  Clin Sci       Date:  1958-02       Impact factor: 6.124

6.  New solvent systems for the resolution of corticosteroids by paper chromatography.

Authors:  W R EBERLEIN; A M BONGIOVANNI
Journal:  Arch Biochem Biophys       Date:  1955-11       Impact factor: 4.013

7.  Cortisol production rates in obesity.

Authors:  P MLYNARYK; R R GILLIES; B MURPHY; C J PATTEE
Journal:  J Clin Endocrinol Metab       Date:  1962-06       Impact factor: 5.958

8.  The secretion and metabolism of cortisol and aldosterone in normal and in steroid-treated women.

Authors:  D S LAYNE; C J MEYER; P S VAISHWANAR; G PINCUS
Journal:  J Clin Endocrinol Metab       Date:  1962-02       Impact factor: 5.958

9.  Methods of paper chromatography of steroids applicable to the study of steroids in mammalian blood and tissues.

Authors:  I E BUSH
Journal:  Biochem J       Date:  1952-01       Impact factor: 3.857

  9 in total
  5 in total

1.  [Steroid-induced adrenal gland hypofunction. Pathogenesis, clinical aspects, diagnosis, prevention and therapy].

Authors:  H Bethge
Journal:  Klin Wochenschr       Date:  1970-03-15

2.  Surgical management of adrenocortical tumors with Cushing's syndrome.

Authors:  H W Scott; J H Foster; R K Rhamy; E Klatte; G W Liddle
Journal:  Ann Surg       Date:  1971-06       Impact factor: 12.969

3.  Plasma and urinary 11-hydroxycorticosteroids in differential diagnosis of Cushing's syndrome.

Authors:  D Mattingly; C Tyler
Journal:  Br Med J       Date:  1972-07-01

4.  Some recent advances in adrenal diagnosis.

Authors:  C L Cope; D Mattingly
Journal:  Postgrad Med J       Date:  1968-01       Impact factor: 2.401

5.  Unreliability of tritiated cholesterol: studies with [1,2-3H]-cholesterol and [24,25-3H]cholesterol in humans.

Authors:  N O Davidson; E H Ahrens; H L Bradlow; D J McNamara; T S Parker; P Samuel
Journal:  Proc Natl Acad Sci U S A       Date:  1980-04       Impact factor: 11.205

  5 in total

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