Reduced cortisol metabolism during critical illness

Critical illness is often accompanied by hypercortisolemia, which has been attributed to stress-induced activation of the hypothalamic-pituitary-adrenal axis. However, low corticotropin levels have also been reported in critically ill patients, which may be due to reduced cortisol metabolism.

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Veröffentlicht in:New England Journal of Medicine 2013-04, Vol.368 (16), p.1477-1488
Hauptverfasser: Boonen, Eva, Vervenne, Hilke, Meersseman, Philippe, Andrew, Ruth, Mortier, Leentje, Declercq, Peter, Vanwijngaerden, Yoo-Mee, Spriet, Isabel, Wouters, Pieter, Vander Perre, Sarah, Langouche, Lies, Vanhorebeek, Ilse, Walker, Brian R, Van den Berghe, Greet
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container_end_page 1488
container_issue 16
container_start_page 1477
container_title New England Journal of Medicine
container_volume 368
creator Boonen, Eva
Vervenne, Hilke
Meersseman, Philippe
Andrew, Ruth
Mortier, Leentje
Declercq, Peter
Vanwijngaerden, Yoo-Mee
Spriet, Isabel
Wouters, Pieter
Vander Perre, Sarah
Langouche, Lies
Vanhorebeek, Ilse
Walker, Brian R
Van den Berghe, Greet
description Critical illness is often accompanied by hypercortisolemia, which has been attributed to stress-induced activation of the hypothalamic-pituitary-adrenal axis. However, low corticotropin levels have also been reported in critically ill patients, which may be due to reduced cortisol metabolism.
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title Reduced cortisol metabolism during critical illness
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