Year 2022 / Volume 114 / Number 11
Letter
Adrenal insufficiency and hepatic cirrhosis: a relationship to discover

688

DOI: 10.17235/reed.2022.8867/2022

Javier Miguel Martín Guerra, Miryam Moreta Rodríguez,

Abstract
Liver cirrhosis is an entity that predisposes to adrenal insufficiency. Adequate screening for this condition in patients with liver cirrhosis, since several studies have shown increased survival with the use of corticosteroids in cirrhotic patients with septic shock, it seems reasonable to identify patients with adrenal insufficiency in the context of liver cirrhosis and individualize your treatment.
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References
1.Yang S, Zhang L. Glucocorticoids and vascular reactivity. Curr Vasc Pharmacol. 2004; 2:1-2. Fede G, Spadaro L, Tomaselli T, et al. Assessment of adrenocortical reserve in stable patients with cirrhosis. J Hepatol. 2011; 54: 243-50.
3. Galbois A, Rudler M, Massard J, et al. Assessment of adrenal function in cirrhotic patients: salivary cortisol should be preferred. J Hepatol. 2010; 52: 839-45.
4. Park SH, Joo MS, Kim BH, Yoo HN, Kim SE, Kim JB, et al. Clinical characteristics and prevalence of adrenal insufficiency in hemodynamically stable patients with cirrhosis. Medicine (Baltimore). 2018: 6; 97.
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Martín Guerra J, Moreta Rodríguez M. Adrenal insufficiency and hepatic cirrhosis: a relationship to discover . 8867/2022


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Publication history

Received: 15/04/2022

Accepted: 30/04/2022

Online First: 12/05/2022

Published: 07/11/2022

Article Online First time: 27 days

Article editing time: 206 days


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