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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1988-12-28
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pubmed:abstractText |
We have investigated the combined use of metyrapone and sodium valproate in the treatment of five cases of dexamethasone-suppressible Cushing's disease and one case with dexamethasone non-suppressible disease. Metyrapone alone reduced 24 h urinary free cortisol (UFC) and plasma cortisol concentrations. Addition of sodium valproate to metyrapone produced a further reduction in these values in five of six patients with a reduction in plasma ACTH in three of five patients who had dexamethasone-suppressible disease. Plasma 11-deoxycortisol increased markedly on metyrapone. However, addition of valproate produced a further rise in 11-deoxycortisol values in four of five patients including the patient with dexamethasone non-suppressible disease. The results suggest that valproate may be a useful addition to metyrapone in the medical treatment of some patients with Cushing's syndrome and that it may have an action both at the hypothalamus and peripherally.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adrenocorticotropic Hormone,
http://linkedlifedata.com/resource/pubmed/chemical/Cortodoxone,
http://linkedlifedata.com/resource/pubmed/chemical/Hydrocortisone,
http://linkedlifedata.com/resource/pubmed/chemical/Pyridines,
http://linkedlifedata.com/resource/pubmed/chemical/Valproic Acid,
http://linkedlifedata.com/resource/pubmed/chemical/metapyrone
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0300-0664
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
373-80
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pubmed:dateRevised |
2009-9-29
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pubmed:meshHeading |
pubmed-meshheading:2847889-Adrenocorticotropic Hormone,
pubmed-meshheading:2847889-Adult,
pubmed-meshheading:2847889-Aged,
pubmed-meshheading:2847889-Cortodoxone,
pubmed-meshheading:2847889-Cushing Syndrome,
pubmed-meshheading:2847889-Drug Therapy, Combination,
pubmed-meshheading:2847889-Female,
pubmed-meshheading:2847889-Humans,
pubmed-meshheading:2847889-Hydrocortisone,
pubmed-meshheading:2847889-Male,
pubmed-meshheading:2847889-Middle Aged,
pubmed-meshheading:2847889-Pyridines,
pubmed-meshheading:2847889-Valproic Acid
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pubmed:year |
1988
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pubmed:articleTitle |
The combined use of sodium valproate and metyrapone in the treatment of Cushing's syndrome.
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pubmed:affiliation |
Department of Medicine, St George's Hospital Medical School, London, UK.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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