Adrenal insufficiency is common amongst kidney transplant recipients receiving maintenance prednisolone and can be predicted using morning cortisol.

Maria Tomkins,Julie Martin-Grace,Carmel Kennedy, Olive McEnroe,Karen Heverin,Shari Srinivasan,Dilly Little,Peter Conlon,Declan De Freitas,Mark Denton,Colm Magee,Conall O'Seaghdha,Michael W O'Reilly,Chris J Thompson,Mark Sherlock

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association（2023）

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摘要

Our results suggest KTRs are at a higher risk for AI than previously reported. A morning serum cortisol measurement is a useful screening tool in this cohort, reducing the need for stimulatory testing by 44%. KTRs with AI need education regarding glucocorticoid sick rules, similar to patients with other forms of AI.

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adrenal insufficiency,cortisol,kidney transplant,prednisolone,synacthen

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