Dear Stephanie
We have already been approached by our Chest Physicians and
Endocrinologists and we are planning to set up a service to measure all
of the common exogenous steroids in the next few months. We currently
provide a service for prednisolone by LC-MS/MS and we would be happy to
measure prednisolone for you.
Best wishes
Brian
Brian Keevil
Consultant Clinical Biochemist
Dept Clinical Biochemistry
University Hospital of South Manchester
Southmoor Rd
Manchester M23 9LT
0161 291 2135
>>> "Barber Stephanie (Clinical Pathology)"
<[log in to unmask]> 02/08/08 12:57 pm >>>
Dear All,
Our endocrinologists are reporting seeing increasing numbers of male
patients referred with suspected hypopituitism (low serum testosterone
with inappropriately low gonadotrophins). These patients are subjected
to lengthy and costly investigation, often including MRI scanning and
laboratory studies. However, in a significant proportion of these
patients the abuse of exogenous steroids is highly likely and is
occasionally admitted by the patient after questioning.
The clinicians would like to screen selected patients in whom steroid
abuse is a likely cause of the biochemical abnormalities before
undertaking unnecessary investigations, such as an MRI. Does anyone know
of such a screening service? Have any other hospitals seen this trend?
Thanks in advance,
Steph
Dr Steph Barber MRCPath
Senior Clinical Biochemist
Nottingham University Hospitals NHS Trust
City Hospital Campus
Nottingham
0115 969 1169 ext 57021
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