0
ARTICLE |

Corticosteroids in Rheumatoid Arthritis:  Studies on Aldosterone, 17-Hydroxycorticosteroid, and 17-Ketosteroid Response to Corticotropin in Male Patients With Rheumatoid Arthritis

S. RICHARDSON HILL, MD; ALEXANDER ULLOA, MD; WILLARD R. STARNES, MS; HOWARD L. HOLLEY, MD
Arch Intern Med. 1963;112(4):603-611. doi:10.1001/archinte.1963.03860040199020.
Text Size: A A A
Published online

The exact relationships between the secretory activity of the anterior pituitary-adrenal cortical system and the rheumatic disease states in man have not been completely delineated. Previous studies 1 have shown that while the daily urinary excretion of 17-ketosteroids in patients with rheumatoid arthritis did not differ from that seen in normal subjects, the excretion of urinary 17-hydroxycorticosteroids was slightly diminished from the mean level observed in normal subjects, due to a lower output during the early morning hours. Although these mean urinary steroid values in patients with rheumatoid arthritis differed slightly from those found in normal subjects, they were not significantly different from those seen in patients with nonrheumatic chronic illnesses.

It has also been shown 2,3 that glucocorticoid and mineralocorticoid hormones exert distinctly different effects on connective tissue; indeed the observed effects of these hormones on inflamed tissues may be opposite. A possible relationship between these two groups of

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Correspondence

CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 23

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs