[HTML][HTML] An impaired pituitary–adrenal signalling axis in stable cirrhosis is linked to worse prognosis

L Hartl, B Simbrunner, M Jachs, P Wolf, DJM Bauer… - JHEP Reports, 2023 - Elsevier
Abstract Background & Aims Inadequate adrenal function has been described in patients
with cirrhosis. We investigated (i) the pituitary–adrenal axis at different clinical stages and (ii) …

High serum levels of free cortisol indicate severity of cirrhosis in hemodynamically stable patients

T Thevenot, R Dorin, E Monnet… - Journal of …, 2012 - Wiley Online Library
Abstract Background and Aim: We investigated:(i) the association between severity of
cirrhosis and serum levels of free cortisol (SFC) and total cortisol (STC), measured before …

Comparison of total cortisol, free cortisol, and surrogate markers of free cortisol in diagnosis of adrenal insufficiency in patients with stable cirrhosis

G Fede, L Spadaro, T Tomaselli, G Privitera… - Clinical …, 2014 - Elsevier
Background & Aims Measurements of serum levels of total cortisol can overestimate the
prevalence of adrenal dysfunction in patients with cirrhosis because they have low …

Relative adrenal insufficiency is associated with the clinical outcome in patients with stable decompensated cirrhosis

E Cholongitas, I Goulis, E Pagkalidou… - Annals of …, 2017 - medigraphic.com
Background. The clinical impact of relative adrenal insufficiency (AI) on patients with stable
decompensated cirrhosis (DeCi) has not been yet elucidated. Aim. Explore the association …

Hypothalamus-pituitary dysfunction is common in patients with stable cirrhosis and abnormal low dose synacthen test

G Fede, L Spadaro, G Privitera, T Tomaselli… - Digestive and Liver …, 2015 - Elsevier
Background Adrenal insufficiency is often present in cirrhosis. We hypothesize that a
prolonged adrenocorticotropic hormone (ACTH) stimulus can restore cellular capacity of …

[PDF][PDF] The importance of salivary cortisol in the diagnosis of adrenal insufficiency in cirrhosis

F Araz, B Soydas, B Ozer, E Serin - 2016 - turkjgastroenterol.org
ABSTRACT Background/Aims: Reports on adrenal insufficiency (AI) are unexpectedly high
in cirrhosis, and the diagnosis of this condition remains a challenge. We aimed to define the …

[HTML][HTML] Decreased maximal cortisol secretion rate in patients with cirrhosis: relation to disease severity

CM Lovato, T Thévenot, S Borot, V Di Martino… - JHEP Reports, 2021 - Elsevier
Background & Aims Hepatic enzymes play a major role in the metabolic elimination of
cortisol, and reduced rates of cortisol clearance have been consistently observed in patients …

Adrenal insufficiency predicts early mortality in patients with cirrhosis

R Chawlani, A Arora, P Ranjan… - United European …, 2015 - journals.sagepub.com
Background Adrenal insufficiency (AI), also known as hepato-adrenal syndrome, is a well-
known entity in cirrhotic patients. However, factors associated with AI and its effect on …

Serum total cortisol and free cortisol index give different information regarding the hypothalamus–pituitary–adrenal axis reserve in patients with liver impairment

RP Vincent, FE Etogo-Asse, T Dew… - Annals of clinical …, 2009 - journals.sagepub.com
Background The short synacthen test (SST) is used to investigate patients with suspected
hypothalamus–pituitary–adrenal (HPA) axis pathology. A rise of serum total cortisol (total …

Assessment of adrenocortical reserve in stable patients with cirrhosis

G Fede, L Spadaro, T Tomaselli, G Privitera, S Piro… - Journal of …, 2011 - Elsevier
BACKGROUND & AIMS: Adrenal insufficiency (AI) is reported in critically ill patients with
cirrhosis and is associated with increased mortality. It is unclear if AI is an underlying …