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THE DIAGNOSIS OF HYPOPITUITARISM WITH SPECIAL REFERENCE TO THE ESTIMATION OF PLASMA NON-ESTERIFIED FATTY ACIDS

THE DIAGNOSIS OF HYPOPITUITARISM WITH SPECIAL REFERENCE TO THE ESTIMATION OF PLASMA... SUMMARYPlasma non-esterified fatty acid (NEFA) levels during a standard insulin sensitivity test have been compared in hypopituitary and hospital control patients who had undergone full routine pituitary investigations. Significant impairment of the recovery of plasma NEFA levels after insulin injection was found in the hypopituitary group as a whole, but this finding was not consistent in individual cases. It is concluded that the measurement of NEFA levels is of little value in the diagnosis of mild hypopituitarism. Blood sugar levels after insulin were of no value in the diagnosis of minor degrees of hypopituitarism.In 19 patients with mild hypopituitarism the order of frequency of deficiency of individual hormones, as judged by tests currently available, was gonadotrophins followed by growth hormone, adrenocorticotrophic hormone, thyroid-stimulating hormone, and antidiuretic hormone. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Endocrinology Bioscientifica

THE DIAGNOSIS OF HYPOPITUITARISM WITH SPECIAL REFERENCE TO THE ESTIMATION OF PLASMA NON-ESTERIFIED FATTY ACIDS

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Publisher
Bioscientifica
Copyright
Copyright © 1970 The Authors. All Rights Reserved.
ISSN
0022-0795
eISSN
1479-6805
DOI
10.1677/joe.0.0460167
Publisher site
See Article on Publisher Site

Abstract

SUMMARYPlasma non-esterified fatty acid (NEFA) levels during a standard insulin sensitivity test have been compared in hypopituitary and hospital control patients who had undergone full routine pituitary investigations. Significant impairment of the recovery of plasma NEFA levels after insulin injection was found in the hypopituitary group as a whole, but this finding was not consistent in individual cases. It is concluded that the measurement of NEFA levels is of little value in the diagnosis of mild hypopituitarism. Blood sugar levels after insulin were of no value in the diagnosis of minor degrees of hypopituitarism.In 19 patients with mild hypopituitarism the order of frequency of deficiency of individual hormones, as judged by tests currently available, was gonadotrophins followed by growth hormone, adrenocorticotrophic hormone, thyroid-stimulating hormone, and antidiuretic hormone.

Journal

Journal of EndocrinologyBioscientifica

Published: Feb 1, 1970

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