Autosomal Dominant Polycystic Kidney Disease
Conditions
Keywords
Autosomal dominant polycystic kidney disease, Adrenal functions, Renal volume, Glomerular filtration rate, Adrenal Cortex Function Tests
Brief summary
We aimed to evaluate the hypothalamus-pituitary-adrenal axis in autosomal dominant polycystic kidney disease (ADPKD) patients. Twenty two ADPKD patients and 27 healthy subjects were enrolled.
Detailed description
CONTEXT: Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary kidney disease and extrarenal manifestations may be observed in many organ systems. Hypothalamus-pituitary-adrenal axis in patients with ADPKD was not evaluated extensively. OBJECTIVE: We aimed to evaluate the hypothalamus-pituitary-adrenal axis in ADPKD patients. METHODS: Twenty two ADPKD patients and 27 healthy subjects were enrolled. Basal dehydroepiandrosterone-sulfate (DHEAS) levels and cortisol and dehydroepiandrosterone responses to low dose short adrenocorticotropin stimulation test were assessed. Correlation analyses of these parameters with glomerular filtration rates, renal volumes and pain characteristics in patients with ADPKD were done.
Interventions
1 microgram tetracosactin, intravenous injection, once for the test
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy subjects * Diagnosis of autosomal dominant polycystic kidney disease
Exclusion criteria
* A glomerular filtration rate below 60 ml/min * History of recent major surgery * Systemic infections with fever * Significant hirsutism (Ferriman Gallwey score≥8) * Congenital adrenal hyperplasia * Late onset congenital adrenal hyperplasia * Systemic corticosteroid use (including previous use) * Topical corticosteroid use * Menstrual irregularity * History of thromboembolism * Uncontrolled diabetes or hypertension * History of psychosis * Pregnancy * Lactation * History of hypersensitivity to tetracosactin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Inadequate response to tetracosactin infusion | 30 and 60 minutes after the drug is administered |
Countries
Turkey (Türkiye)