2010
DOI: 10.4274/jcrpe.v2i1.1
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Steroid Assays in Paediatric Endocrinology

Abstract: Most steroid disorders of the adrenal cortex come to clinical attention in childhood and in order to investigate these problems, there are many challenges to the laboratory which need to be appreciated to a certain extent by clinicians. The analysis of sex steroids in biological fluids from neonates, over adrenarche and puberty present challenges of specificities and concentrations often in small sample sizes. Different reference ranges are also needed for interpretations. For around 40 years, quantitative ass… Show more

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Cited by 26 publications
(17 citation statements)
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“…It is crucial to note that the measurement of hormone concentrations, especially in children, itself is the object of current research Granger et al (2004). point out that the manner of the collection and storage of saliva samples may affect results Honour (2010). investigated steroid assays in pediatric endocrinology and concluded that in this research area, the discussion of unusual results, and a possible improvement of test results via the usage of more labor-intensive methods such as chromatography or (tandem) mass spectrometry might be of importance.Developmental PsychobiologyMental Rotation and Salivary Hormones in (Pre-)Puberty…”
mentioning
confidence: 99%
“…It is crucial to note that the measurement of hormone concentrations, especially in children, itself is the object of current research Granger et al (2004). point out that the manner of the collection and storage of saliva samples may affect results Honour (2010). investigated steroid assays in pediatric endocrinology and concluded that in this research area, the discussion of unusual results, and a possible improvement of test results via the usage of more labor-intensive methods such as chromatography or (tandem) mass spectrometry might be of importance.Developmental PsychobiologyMental Rotation and Salivary Hormones in (Pre-)Puberty…”
mentioning
confidence: 99%
“…It has generally been proposed that the presence of interference peaks co-existing in biological matrixes and co-eluting with the analyte of interest caused ionization suppression, reducing the detection sensitivity (12,13). For the measurement of steroids in organs, LC-MS analysis has several advantages over immunoassays, including a better specificity and the ability to quantify numerous steroids in a single run (14,15). Especially, liquid chromatographyelectrospray ionization time-of-flight mass spectrometry (LC-TOFMS) made possible to perform the accurate mass determination of components containing matrixes.…”
mentioning
confidence: 99%
“…The highest urinary excretion rate of cortisol metabolites is between 1000 h and 1800 h. 51 There is an increase in androgen sulphate excretion and other major androgen metabolites in premature adrenarche, whereas very distinctive profiles are seen in adrenocortical tumours. 21-hydroxylase deficiency, the commonest form of CAH, shows an increase in 17-OHP and 21-deoxycortisol metabolites with low cortisol and corticosterone metabolites.…”
Section: Tests Of Adrenal Functionmentioning
confidence: 99%