[Clinical application of the dexamethasone suppression test in the differentiation of subgroups in anorexia nervosa].
This paper analyzes the usefulness of DST to identify subgroups in 27 patients with anorexia nervosa. The results obtained from this investigation don't show significant differences between the suppressors and nonsuppressors based on any of the following variables: weight loss, age, duration of the illness, weight at admittance, percentage of ideal weight and cortisol and ACTH baseline levels. However, we have found a correlation between substantially underweight patients (less than 75% of the ideal weight) and nonsuppression, and between bulimic episodes and suppression. 74.1% of our patients had abnormal DST. The DST does not appear to be useful to establish anorexia nervosa subgroups.
Hidalgo Rodrigo
M I
MI
Unidad de Psiquiatría, Hospital Nuestra Señora de Sonsoles, Avila, Madrid.
Díaz González
R J
RJ
Cabranes Díaz
J A
JA
Hidalgo Rodrigo
M A
MA
Santiago Guervós
M
M
D000293:Adolescent; D000324:Adrenocorticotropic Hormone / Q000097:blood; D000328:Adult; D000856:Anorexia Nervosa / Q000145:classification* / Q000175:diagnosis / Q000503:physiopathology; D002032:Bulimia / Q000503:physiopathology; D002648:Child; D003907:Dexamethasone; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D008297:Male; D015431:Weight Loss
D003907:Dexamethasone; D000324:Adrenocorticotropic Hormone; D006854:Hydrocortisone
Aplicación clínica del "test" de supresión con dexametasona en la diferenciación de subgrupos en la anorexia nerviosa.