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Article
Serum adrenal steroid concentrations in premature infants
Lee Lab
  • Mary M. Lee, University of Massachusetts Medical School
  • Lakshmy Rajagopalan, The Children's Hospital of Philadelphia
  • Gregory J. Berg, Endocrine Sciences
  • Thomas Moshang, Jr., The Children's Hospital of Philadelphia
UMMS Affiliation
Department of Pediatrics
Date
12-1-1989
Document Type
Article
Medical Subject Headings
17-alpha-Hydroxypregnenolone; 17-alpha-Hydroxyprogesterone; 18-Hydroxycorticosterone; Aldosterone; Androstenedione; Birth Weight; Cortodoxone; Dehydroepiandrosterone; Dehydroepiandrosterone Sulfate; Female; Gestational Age; Hormones; Humans; Hydrocortisone; Hydroxyprogesterones; Infant, Newborn; Infant, Premature; Male; Steroids
Abstract
To evaluate serum adrenal steroid concentrations in preterm infants, 17-hydroxyprogesterone (17-OHP), 17-hydroxypregnenolone, 11-deoxycortisol, cortisol, dehydroepiandrosterone (DHEA), DHEA sulfate, androstenedione, 18-hydroxycorticosterone, and aldosterone values were determined in 9 sick and 13 healthy premature infants. Serum steroid concentrations were compared to previously reported data from healthy full-term infants. 17-OHP, 11-deoxycortisol, and aldosterone values were higher in sick preterm infants than in healthy preterm infants. Compared to healthy full-term infants, the premature infants-had significantly higher 17-hydroxypregnenolone, 17-OHP, and DHEA sulfate concentrations. Cortisol values were not different between the sick and healthy preterm infants and were similar to full-term values. Aldosterone values were also similar between the premature and the full-term infants. The findings of elevated steroid precursors in preterm infants and low cortisol levels in stressed sick preterm infants may indicate a relative immaturity of adrenal enzyme activity and inadequate adrenal reserve for stress.
Rights and Permissions
Citation: J Clin Endocrinol Metab. 1989 Dec;69(6):1133-6. Link to article on publisher's site
Comments

At the time of publication, Mary Lee was not yet affiliated with the University of Massachusetts Medical School.

Related Resources
Link to Article in PubMed
PubMed ID
2531155
Citation Information
Mary M. Lee, Lakshmy Rajagopalan, Gregory J. Berg and Thomas Moshang. "Serum adrenal steroid concentrations in premature infants" Vol. 69 Iss. 6 (1989) ISSN: 0021-972X (Linking)
Available at: http://works.bepress.com/mary_lee/17/