1997
DOI: 10.1016/s0306-4530(97)00061-9
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Glucocorticoid receptors, fibromyalgia and low back pain

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Cited by 98 publications
(68 citation statements)
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“…Therefore, neuroendocrinological factors are crucial in FM, which has been shown to be associated with sympathetic nervous system and HPA axis abnormalities (43). Hypocortisolemia in FM may be owing to a primary insufficiency of the adrenal gland or to centrally driven hypocortisolism (44). We think that the relationship of trauma and FM and the role of these abnormalities in this relationship should be investigated using hormones and biomarkers.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, neuroendocrinological factors are crucial in FM, which has been shown to be associated with sympathetic nervous system and HPA axis abnormalities (43). Hypocortisolemia in FM may be owing to a primary insufficiency of the adrenal gland or to centrally driven hypocortisolism (44). We think that the relationship of trauma and FM and the role of these abnormalities in this relationship should be investigated using hormones and biomarkers.…”
Section: Discussionmentioning
confidence: 99%
“…By the time, cortisol levels were not measured, as patients received cumulative depotdexamethasone, which may have compromised the hypothalamic-pituitary axis. Besides, plasma cortisol serum concentration was described as similar regarding healthy control and chronic low back pain 20,21 . Interestingly, the combination of both T ketamine and clonidine (Ket-CloG) did not result in a better analgesic profile compared to the correspondent drug alone and resulted in excessive sedation during the 6-h evaluation.…”
Section: Discussionmentioning
confidence: 84%
“…Unlike the depression for which the hypercortisolism is a common phenomenon, hypocortisolism is more common in chronic pain patients [79][80][81] . No escape from DST was observed in fibromyalgia (FMS) patients 81 .…”
Section: Pain and Hpa Axismentioning
confidence: 99%