TY  - BOOK
AU  - Moustafa Saeed Mohammed Ahmed
AU  - Laila Ahmed Rashed , 
AU  - Nagwa Ramadan Ahmed , 
AU  - Rokaya Abdelaziz , 
TI  - Assessment of adrenal function in patients with liver cirrhosis  / 
PY  - 2014///
CY  - Cairo : 
PB  - Moustafa Saeed Mohammed Ahmed , 
KW  - Adrenal insufficiency
KW  - Liver cirrhosis
KW  - Sepsis
N1  - Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Internal Medicine; Issued also as CD
N2  - Introduction: Liver cirrhosis is a major cause of mortality worldwide (Méndez et al., 2007) often with severe sepsis as the terminal event (Tsai, et al, 2006). Over the last two decades, several studies have reported that in septic patients the adrenal glands respond inappropriately to stimulation, and that the treatment with corticosteroids decreases mortality in such patients (Annane et al 2004). Conclusion: In conclusion, AI forms important part of spectrum of chronic liver disease. Deterioration of synthetic functions of liver disease predicts presence of AI, and these patients should be evaluated for adrenal dysfunction periodically. Adrenal function worsens with progression of liver disease. Steroid replacement in CLD patients at time of stress and critical illness may be beneficial
UR  - http://172.23.153.220/th.pdf
ER  -