Inhalation/Nasal Corticosteroids and Prevalence of Hypothalamic-pituitary-adrenal (HPA) Axis Suppression in Human Immunodeficiency Virus (HIV)-Patients
Current usage of inhalation or nasal corticosteroids, for at least two weeks
Willing to give informed consent
You may not be if
adrenal insufficiency
Concurrent use of topical corticosteroids, usage of oral corticosteroids in the last three months. Intramuscular or intra-articular corticosteroid injections in the last year.
Contra-indications for tetracosactide: allergy for tetracosactide, Cushings's syndrome, refractory heart failure, peptic ulcer, acute psychosis, adrenogenital syndrome
If the patient ever had an ACTH-stimulation test before
Pregnant female or breast-feeding female.
Use of oral contraceptives, since these can heighten the cortisol-binding globulin
Exclusion criterion for the cortisol measurements in hair: baldness
Clareo Health | Inhalation/Nasal Corticosteroids and Prevalence of Hypothalamic-pituitary-adrenal (HPA) Axis Suppression in Human Immunodeficiency Virus (HIV)-Patients
