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The purpose of this study is to determine whether patients with Hashimoto thyroiditis and impaired well-being may have a partial secondary adrenocortical insufficiency.
Many patients with Hashimoto thyroiditis who are correctly substituted with thyroid hormones have an impaired well-being. in some people an isolated ACTH deficiency was found.
In this study a 1 µg ACTH test is performed to evaluate the adrenocortical function.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Other | healthy people without Hashimoto disease receive a 1µg ACTH stimulation test |
|
| 2 | Other | patients with Hashimoto disease with well being receive a 1 µg ACTH stimulation test |
|
| 3 | Other | patients with Hashimoto disease an impaired well-being receive a 1 µg ACTH stimulation test |
|
| 4 | Other | patients with Hashimoto disease and negative TPO antibodies receive a 1µg ACTH stimulation test |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| synacthen | Drug | 1 µg synacthen in the vein |
|
| Measure | Description | Time Frame |
|---|---|---|
| serum cortisol-peak 30 min after ACTH-stimulation | 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| serum DHEA-peak 30 min. after ACTH-stimulation,DHEA-S, ACTH | 30 minutes |
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Inclusion Criteria:
Exclusion Criteria:
• hypothyroidism of other origin
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| Name | Affiliation | Role |
|---|---|---|
| Bruno Allolio, MD | University of Wuerzburg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Wuerzburg, Department of Endocrinology | Würzburg | Bavaria | 97080 | Germany |
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| ID | Term |
|---|---|
| D050031 | Hashimoto Disease |
| D000309 | Adrenal Insufficiency |
| C562707 | ACTH Deficiency, Isolated |
| D013967 | Thyroiditis, Autoimmune |
| ID | Term |
|---|---|
| D013966 | Thyroiditis |
| D013959 | Thyroid Diseases |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
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| ID | Term |
|---|---|
| C006418 | adrenocorticotropin zinc |
| D000324 | Adrenocorticotropic Hormone |
| ID | Term |
|---|---|
| D053486 | Melanocortins |
| D011333 | Pro-Opiomelanocortin |
| D007028 | Hypothalamic Hormones |
| D036361 | Peptide Hormones |
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| D007154 |
| Immune System Diseases |
| D000307 | Adrenal Gland Diseases |
| D006728 |
| Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010908 | Pituitary Hormones, Anterior |
| D010907 | Pituitary Hormones |
| D009479 | Neuropeptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D009419 | Nerve Tissue Proteins |
| D011506 | Proteins |