Treating the Side Effects of Exogenous Glucocorticoids; Can We Separate the Good From the Bad?

R Pofi, G Caratti, DW Ray, JW Tomlinson - Endocrine Reviews, 2023 - academic.oup.com
It is estimated that 2% to 3% of the population are currently prescribed systemic or topical
glucocorticoid treatment. The potent anti-inflammatory action of glucocorticoids to deliver …

Resistant hypertension: diagnosis, evaluation, and treatment: a scientific statement from the American Heart Association Professional Education Committee of the …

DA Calhoun, D Jones, S Textor, DC Goff, TP Murphy… - …, 2008 - Am Heart Assoc
Resistant hypertension is a common clinical problem faced by both primary care clinicians
and specialists. While the exact prevalence of resistant hypertension is unknown, clinical …

Impact of sleep and its disturbances on hypothalamo‐pituitary‐adrenal axis activity

M Balbo, R Leproult… - International journal of …, 2010 - Wiley Online Library
The daily rhythm of cortisol secretion is relatively stable and primarily under the influence of
the circadian clock. Nevertheless, several other factors affect hypothalamo‐pituitary‐adrenal …

Mortality and morbidity in Cushing's disease over 50 years in Stoke-on-Trent, UK: audit and meta-analysis of literature

RN Clayton, D Raskauskiene… - The Journal of …, 2011 - academic.oup.com
Context: Pituitary ACTH-dependent Cushing's disease (CD) is uncommon, and there are
very limited data on long-term mortality. Objective: The aim was to summarize what is known …

Mortality in patients with pituitary disease

M Sherlock, J Ayuk, JW Tomlinson… - Endocrine …, 2010 - academic.oup.com
Pituitary disease is associated with increased mortality predominantly due to vascular
disease. Control of cortisol secretion and GH hypersecretion (and cardiovascular risk factor …

Cushing's syndrome: Overview of clinical presentation, diagnostic tools and complications

M Barbot, M Zilio, C Scaroni - … practice & research Clinical endocrinology & …, 2020 - Elsevier
Cushing's syndrome (CS) is a severe condition that results from chronic exposure to
elevated circulating cortisol levels; it is a rare but potentially life-threating condition …

Glucocorticoids and the regulation of growth hormone secretion

G Mazziotti, A Giustina - Nature Reviews Endocrinology, 2013 - nature.com
Glucocorticoids modulate the secretion of growth hormone (GH) by various and competing
effects on the hypothalamus and pituitary gland. The final effects of this modulation depend …

Glucose metabolism abnormalities in Cushing syndrome: from molecular basis to clinical management

C Scaroni, M Zilio, M Foti, M Boscaro - Endocrine reviews, 2017 - academic.oup.com
An impaired glucose metabolism, which often leads to the onset of diabetes mellitus (DM), is
a common complication of chronic exposure to exogenous and endogenous glucocorticoid …

Secondary diabetes associated with principal endocrinopathies: the impact of new treatment modalities

E Resmini, F Minuto, A Colao, D Ferone - Acta diabetologica, 2009 - Springer
The secondary occurrence of type 2 diabetes with various hormonal diseases (eg pituitary,
adrenal and/or thyroid diseases) is a recurrent observation. Indeed, impaired glucose …

ACTH deficiency, higher doses of hydrocortisone replacement, and radiotherapy are independent predictors of mortality in patients with acromegaly

M Sherlock, RC Reulen, AA Alonso… - The Journal of …, 2009 - academic.oup.com
Context: A number of retrospective studies report that patients with acromegaly have
increased morbidity and premature mortality, with standardized mortality ratios (SMR) of 1.3 …