Basal cortisol levels and the relationship with clinical symptoms in multiple sclerosis: a systematic review

ABSTRACT Multiple sclerosis (MS) is a demyelinating, progressive and neurodegenerative disease. A disturbance on the hypothalamic-pituitary-adrenal axis can be observed in patients with MS, showing altered cortisol levels. We aimed to identify basal cortisol levels and verify the relationship with c...

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Main Authors: Gabriela Magalhães Pereira, Nayron Medeiros Soares, Andreo Rysdyk de Souza, Jefferson Becker, Alessandro Finkelsztejn, Rosa Maria Martins de Almeida
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO)
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000900622&lng=en&tlng=en
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author Gabriela Magalhães Pereira
Nayron Medeiros Soares
Andreo Rysdyk de Souza
Jefferson Becker
Alessandro Finkelsztejn
Rosa Maria Martins de Almeida
author_facet Gabriela Magalhães Pereira
Nayron Medeiros Soares
Andreo Rysdyk de Souza
Jefferson Becker
Alessandro Finkelsztejn
Rosa Maria Martins de Almeida
author_sort Gabriela Magalhães Pereira
collection DOAJ
description ABSTRACT Multiple sclerosis (MS) is a demyelinating, progressive and neurodegenerative disease. A disturbance on the hypothalamic-pituitary-adrenal axis can be observed in patients with MS, showing altered cortisol levels. We aimed to identify basal cortisol levels and verify the relationship with clinical symptoms in patients with MS. A systematic search was conducted in the databases: Pubmed, Web of Science and SCOPUS. Both higher and lower cortisol levels were associated with MS. Higher cortisol levels were associated with depression and anxiety, while lower levels were associated with depression, fatigue and urinary dysfunction. Higher cortisol levels may be associated with the progression and severity of MS.
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spelling doaj.art-ff1f152009e2421da7cb755702e865d02022-12-21T22:35:51ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-422776962263410.1590/0004-282x20180091S0004-282X2018000900622Basal cortisol levels and the relationship with clinical symptoms in multiple sclerosis: a systematic reviewGabriela Magalhães PereiraNayron Medeiros SoaresAndreo Rysdyk de SouzaJefferson BeckerAlessandro FinkelsztejnRosa Maria Martins de AlmeidaABSTRACT Multiple sclerosis (MS) is a demyelinating, progressive and neurodegenerative disease. A disturbance on the hypothalamic-pituitary-adrenal axis can be observed in patients with MS, showing altered cortisol levels. We aimed to identify basal cortisol levels and verify the relationship with clinical symptoms in patients with MS. A systematic search was conducted in the databases: Pubmed, Web of Science and SCOPUS. Both higher and lower cortisol levels were associated with MS. Higher cortisol levels were associated with depression and anxiety, while lower levels were associated with depression, fatigue and urinary dysfunction. Higher cortisol levels may be associated with the progression and severity of MS.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000900622&lng=en&tlng=enMultiple sclerosishydrocortisonepituitary-adrenal systemneurologic manifestationsgeneral symptoms
spellingShingle Gabriela Magalhães Pereira
Nayron Medeiros Soares
Andreo Rysdyk de Souza
Jefferson Becker
Alessandro Finkelsztejn
Rosa Maria Martins de Almeida
Basal cortisol levels and the relationship with clinical symptoms in multiple sclerosis: a systematic review
Arquivos de Neuro-Psiquiatria
Multiple sclerosis
hydrocortisone
pituitary-adrenal system
neurologic manifestations
general symptoms
title Basal cortisol levels and the relationship with clinical symptoms in multiple sclerosis: a systematic review
title_full Basal cortisol levels and the relationship with clinical symptoms in multiple sclerosis: a systematic review
title_fullStr Basal cortisol levels and the relationship with clinical symptoms in multiple sclerosis: a systematic review
title_full_unstemmed Basal cortisol levels and the relationship with clinical symptoms in multiple sclerosis: a systematic review
title_short Basal cortisol levels and the relationship with clinical symptoms in multiple sclerosis: a systematic review
title_sort basal cortisol levels and the relationship with clinical symptoms in multiple sclerosis a systematic review
topic Multiple sclerosis
hydrocortisone
pituitary-adrenal system
neurologic manifestations
general symptoms
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000900622&lng=en&tlng=en
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