Abstract
The objective was to determine the probability of receiving steroid treatment following an insulin tolerance test (ITT) for short-stature evaluation and to evaluate the utility of a subsequent cortrosyn stimulation test (CST) in determining adrenal sufficiency. We retrospectively analyzed the hypothalamic-pituitary-adrenal (HPA) axis evaluation in short-stature subjects during the 5-year period from January 2005 to December 2009. The probability of receiving steroid treatment was <10% when the maximum cortisol concentration during an ITT was <8.4 μg/dL. In the event of a suboptimal cortisol response during an ITT, only a single 1-μg CST is recommended for assessment of adrenal function.
©2012 by Walter de Gruyter Berlin Boston
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Articles in the same Issue
- Masthead
- Masthead
- Editorial
- Obesity, adolescence, and sleep deprivation
- Reviews
- 18F-DOPA positron emission tomography/computed tomography application in congenital hyperinsulinism
- Pathogenesis of propylthiouracil-related hepatotoxicity in children: present concepts
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- Overestimation of final height prediction in patients with classical congenital adrenal hyperplasia using the Bayley and Pinneau method
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- Association of vitamin D receptor gene Cdx2 polymorphism with bone markers in Turner syndrome patients
- Serum 25-hydroxyvitamin D levels do not correlate with asthma severity in a case-controlled study of children and adolescents
- Assessment of the 21-hydroxylase deficiency and the adrenal functions in young females with Turner syndrome
- The association of FGF23 levels in obese adolescents with insulin sensitivity
- Higher postprandial serum ghrelin among African-American girls before puberty
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- Thyroid autoimmunity in 72 children with type 1 diabetes mellitus: relationship with pancreatic autoimmunity and child growth
- Nesfatin-1 in newborns: relationship with endocrine and metabolic and anthropometric measures
- How much is enough? Evaluation of adrenal function in children who undergo growth hormone stimulation test
- A novel mutation in the GCM2 gene causing severe congenital isolated hypoparathyroidism
- Relation among ghrelin, nutritional status, and immunity in children
- The histopathological effects of tamoxifen in the treatment of pubertal gynecomastia
- Patient reports
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- Elevated α-fetoprotein levels in Van Wyk-Grumbach syndrome: a case report and review of literature
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- Foster care and type 1 diabetes in the Bronx: a case series
- Primary hyperparathyroidism: fifth parathyroid intrathymic adenoma in a young patient
- Sturge-Weber syndrome: presentation with partial hypopituitarism
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- First case report of short-chain acyl-CoA dehydrogenase deficiency in China
- Ganglioneuroblastoma in a young child with Turner syndrome
- MODY2 caused by a novel mutation of GCK gene
- Variability in the age at diagnosis of diabetes in two unrelated patients with a homozygous glucokinase gene mutation
- Letter to the editor
- Understanding less than nothing: high-dose vitamin D therapy for treating vitamin D deficiency
- Meetings
- Meetings Calendar