The short Synacthen and insulin stress tests in the assessment of the hypothalamic-pituitary-adrenal axis

Clinical Endocrinology

Volumn 44, Issue 2, 1996, Pages 141-146

  Hurel, S J ^a   Thompson, C J ^a   Watson, M J ^a   Harris, M M ^a   Baylis, P H ^a   Kendall Taylor, P ^a  

^a ROYAL VICTORIA INFIRMARY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

HYDROCORTISONE; INSULIN; NEUTRAL INSULIN; TETRACOSACTIDE;

ADULT; ARTICLE; CONTROLLED STUDY; FEMALE; HUMAN; HYPOTHALAMUS HYPOPHYSIS ADRENAL SYSTEM; INSULIN SENSITIVITY; INTRAMUSCULAR DRUG ADMINISTRATION; INTRAVENOUS DRUG ADMINISTRATION; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL;

EID: 0030071887     PISSN: 03000664     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1365-2265.1996.555381.x     Document Type: Article

References (12)

1. Fish, H.R., Chernow, B. & O'Brian, J.T. (1986) Endocrine and neurophysiologic responses of the pituitary to insulin-induced hypoglycaemia: a review. Metabolism, 35, 763-780.
2. Hagg, E., Asplund, K. & Lithner, F. (1987) Value of basal plasma cortisol assays in the assessment of pituitary adrenal insufficiency. Clinical Endocrinology, 26, 221-226.
3. Jones, S.L., Trainer, P.J., Perry, L., Wass, J., Besser, G.M. & Grossman, A. (1994) An audit of the insulin tolerance test in adult subjects in an acute investigation unit over one year. Clinical Endocrinology, 41, 123-128.
4. Levy, A. & Lightman, S.L. (1994) Diagnosis and management of pituitary tumours. British Medical Journal, 308, 1087-1091
5. Lindholm, J. & Kehlet, H. (1987) Re-evaluation of the clinical value of the 30 minute ACTH test in assessing the hypothalamic-pituitary adrenocortical function. Clinical Endocrinology, 26, 53-59.
6. Plumpton, F. S. & Besser, G.M. (1969) The adrenocortical response to surgery and insulin-induced hypoglycaemia in corticosteroid treated and normal subjects. British Journal of Surgery, 56, 216-219.
7. Ross, R.J.M. (1992) Protocol for common endocrine tests. In Clinical Endocrinology (ed. A.G. Grossman), pp. 1015-1016. Blackwell Science Ltd, Oxford.
8. Ross, R.J.M. (1993) Growth hormone replacement in adults: What dose? Clinical Endocrinology, 39, 401-402.
9. Shah, A., Stanhope, R. & Matthew, D. (1992) Hazards of pharmacological tests of growth hormone secretion in childhood. British Medical Journal, 304, 173-174.
10. Sheppard, M.C. & Stewart, P.M. (1993) The short Synacthen versus the insulin tolerance test. Third International Pituitary Congress S-14 (abstr.), American Pituitary Association.
11. Stewart, P.M., Corrie, J., Seckl, J.R., Edwards, C.R. & Padfield, P.L. (1988) A rational approach for assessing the hypothalamic-pituitary adrenal axis. Lancet, i, 1208-1210.
12. Tsatsoulis, A., Shalet, S.M., Harrison, J., Ratcliffe, W.A., Beardwell, C.G. & Robinson, E.L. (1988) Adrenocorticotrophin (ACTH) deficiency undetected by standard dynamic tests of the hypothalamic pituitary-adrenal axis. Clinical Endocrinology, 28, 225-232.