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Neuroendocrine responses to d-fenfluramine & insulin-induced hypoglycemia in Chronic Fatigue Syndrome (CFS)

  [ 51 votes ]   [ Discuss This Article ]
www.ProHealth.com • February 15, 1995


Chronic fatigue syndrome (CFS) is a disorder characterized by severe
physical and mental fatigue and fatiguability of central
rather than peripheral origin. We hypothesized that CFS is
mediated by changes in hypothalamopituitary function and so
measured the adrenocorticotrophic hormone (ACTH), cortisol,
growth hormone, and prolactin responses to insulin-induced
hypoglycemia, and the ACTH, cortisol, and prolactin responses
to serotoninergic stimulation with dexfenfluramine in
nondepressed CFS patients and normal controls. We have shown
attenuated prolactin responses to hypoglycemia in CFS. There
was also a greater ACTH response and higher peak ACTH
concentrations (36.44 +/- 4.45 versus 25.60 +/- 2.78 pg ml),
whereas cortisol responses did not differ, findings that are
compatible with impaired adrenal cortical function. This study
provided evidence for both pituitary and adrenal cortical
impairment in CFS and further studies are merited to both
confirm and determine more precisely their neurobiological
basis so that rational treatments can be evolved.

Bearn J, Allain T, Coskeran P, Munro N, Butler J, McGregor A,
Wessely S




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