HYPOTHALAMIC-PITUITARY FUNCTION IN CUSHINGS-DISEASE

被引:3
作者
LEROITH, D [1 ]
SHAPIRO, MS [1 ]
GUTMAN, A [1 ]
SPITZ, IM [1 ]
机构
[1] SHAARE ZEDEK MED CTR,DEPT ENDOCRINOL & METAB,POB 293,JERUSALEM 9100,ISRAEL
关键词
Cushing’s disease; FSH; GH; LH; PRL; TSH;
D O I
10.1007/BF03349337
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hypothalamic pituitary function was evaluated in seven patients with Cushing’s disease. In all subjects there was an absence of GH elevation following hypoglycemia. Three patients demonstrated basal hyperprolactinemia. Six had an intact PRL rise following TRH. However, four patients failed to show PRL elevation with insulin hypoglycemia and six were unresponsive to chlorpromazine. Five patients showed impaired TSH response to TRH. Many of the subjects had low basal LH and FSH levels. Attenuated or absent gonadotropin responses to LHRH were noted in three females. One male demonstrated an exaggerated FSH response to LHRH. These results indicate that multiple abnormalities of anterior pituitary hormone secretion characterize Cushing’s disease. © 1978, Italian Society of Endocrinology (SIE). All rights reserved.
引用
收藏
页码:379 / 383
页数:5
相关论文
共 16 条
[1]  
Krieger D.T, Glick S.M., Growth hormone and cortisol responsiveness in Cushing’s syndrome. Relation to a possible central nervous system etiology, Am. J. Med., 52, (1972)
[2]  
Kuku S.F., Child D.F., Nader S., Fraser T.R., Thyrotropin and prolactin responsiveness to thyrotropin releasing hormone in Cushing’s disease, Clin. Endocrinol. (Oxf.), 4, (1975)
[3]  
Lamberts S.W.J., Timmermans HA.T, De Jong F.H., Birkenhager J.C., The role of dopaminergic depletion in the pathogenesis of Cushing’s disease and the possible consequences for medical therapy, Clin. Endocrinol. (Oxf.), 7, (1977)
[4]  
Boccuzzi G., Angeli A., Bisbocci D., Fonzo D., Gaidano G.P., Ceresa F., Effect of synthetic LHRH on the release of gonadotropins in Cushing’s disease, J. Clin. Endocrinol. Metab., 40, (1975)
[5]  
Hartog M., Gaafar M.A., Fraser R., Effect of corticosteroids on serum growth hormone, Lancet, 2, (1964)
[6]  
Sowers J.R., Carlson H.E., Brautbar N., Hershman J.M., Effect of dexamethasone on prolactin and TSH response to TRH and metoclopramide in man, J. Clin. Endocrinol. Metab., 44, (1977)
[7]  
Sakakura M., Kazuo T., Nagasawa S., Inhibition of luteinizing hormone secretion induced by synthetic LHRH by long term treatment with glucocorticoids in human subjects, J. Clin. Endocrinol. Metab., 40, (1975)
[8]  
Spitz I.M., Almaliach U., Rosen E., Polishuk W., Rabinowitz D., Dissociation of prolactin responsiveness to TRH and chlorpromazine in women with isolated gonadotropin deficiency, J. Clin. Endocrinol. Metab., 45, (1977)
[9]  
Woolff P.D., Lee L.A., Leebaw W., Thompson D., Lilavivathana U., Brodows R., Intracellular glucopenia causes prolactin release in man, J. Clin. Endocrinol. Metab., 45, (1977)
[10]  
Frantz A.G., Rabkin M.T, Human growth hormone. Clinical measurement, response to hypoglycemia and suppression by corticosteroids, N. Engl. J. Med., 271, (1964)