Endocrine Abstracts

Although Endocrinologists have focused for decades on circulating concentrations of cortisol, arguably the important concentrations are those within tissues which are available at corticosteroid receptors. Tissue concentrations are influenced by plasma proteins binding cortisol, by physicochemical characteristics of the steroid, by active transport across cell membranes, and by steroid metabolism within target tissues. Many of these factors vary between individuals, and within...

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The management of congenital adrenal hyperplasia is challenging. Patients suffer from multiple morbidities related to excess androgens or glucocorticoid over-replacement. Multiple studies in Europe and the US have shown a high rate of metabolic complications in patients suffering from CAH including obesity, hypercholesterolaemia, insulin resistance, high blood pressure and low bone mineral density. Some studies have shown that patients with CAH have a poor quality of life and ...