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Exacerbation of hepatitis C induced subclinical hypoadrenalism by Interferon-alpha2beta: A case report.


ABSTRACT: Adrenal disease is an uncommon manifestation of hepatitis C infection and its related treatment regimen. This is a case of subclinical hypoadrenalism, probably induced by hepatitis C infection and further exacerbated by interferon-alpha2beta and Ribavirin therapy. The adrenal deterioration during the treatment course was observed closely with 24-hour salivary profiles and 250 mug adrenocorticotropin stimulation tests using parallel serum and salivary cortisol concentrations. A number of possible pathogenic mechanisms are discussed, and the controversy over its management is emphasized.

SUBMITTER: Tran HA 

PROVIDER: S-EPMC2556317 | biostudies-literature | 2008 Sep

REPOSITORIES: biostudies-literature

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Exacerbation of hepatitis C induced subclinical hypoadrenalism by Interferon-alpha2beta: A case report.

Tran Huy A HA   Song Shuzhen S   Lojewski Robert J RJ   Reeves Glenn E GE  

Cases journal 20080918 1


Adrenal disease is an uncommon manifestation of hepatitis C infection and its related treatment regimen. This is a case of subclinical hypoadrenalism, probably induced by hepatitis C infection and further exacerbated by interferon-alpha2beta and Ribavirin therapy. The adrenal deterioration during the treatment course was observed closely with 24-hour salivary profiles and 250 mug adrenocorticotropin stimulation tests using parallel serum and salivary cortisol concentrations. A number of possible  ...[more]

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