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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1997-3-6
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pubmed:abstractText |
Due to a lack of longitudinal data the precise effect of long-term corticosteroid treatment on serum levels of the anabolic hormones Growth Hormone (GH) and Insulin-like Growth Factor-1 (IGF-1) is unknown. Therefore, we prospectively followed GH and IGF-1 levels over a six month period in 18 euthyroid patients with Graves' ophthalmopathy. Ten patients were treated with a three month course of prednisone; eight patients receiving retrobulbar irradiation served as controls. Baseline serum GH and IGF-1 levels were similar in both groups. Whereas no changes were seen in controls, prednisone induced a rapid increase in serum IGF-1 levels, which was sustained during the entire treatment period: 18.2 +/- 5.2 at baseline vs 24.1 +/- 6.7 nmol/l after 12 weeks of treatment (p < 0.001). After discontinuation of prednisone IGF-1 returned to baseline levels. Basal GH levels were frequently undetectable, but during treatment GH values were lower in the prednisone group (median of detectable values 4.0 mU/L [range 2.0-26.0]) than in controls (11.8 [2.8-44.0]; p < 0.01). In conclusion, long-term prednisone treatment is associated with suppressed GH levels and with an increase in total IGF-1 levels. This suggests that prednisone can disrupt the GH/IGF 1 axis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0391-4097
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
19
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
620-3
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pubmed:dateRevised |
2005-11-17
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pubmed:meshHeading |
pubmed-meshheading:8957747-Adult,
pubmed-meshheading:8957747-Aged,
pubmed-meshheading:8957747-Eye Diseases,
pubmed-meshheading:8957747-Female,
pubmed-meshheading:8957747-Graves Disease,
pubmed-meshheading:8957747-Human Growth Hormone,
pubmed-meshheading:8957747-Humans,
pubmed-meshheading:8957747-Insulin-Like Growth Factor I,
pubmed-meshheading:8957747-Male,
pubmed-meshheading:8957747-Middle Aged,
pubmed-meshheading:8957747-Prednisone,
pubmed-meshheading:8957747-Prospective Studies
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pubmed:year |
1996
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pubmed:articleTitle |
The effect of long-term prednisone treatment on growth hormone and insulin-like growth factor-1.
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pubmed:affiliation |
Department of Endocrinology, University of Amsterdam, The Netherlands.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
|