ACTH more than 2000 pg/ml; is it immunoassay interference or another matter?

Starting rifampicin in patients with Addison’s disease or adrenal tuberculosis may precipitate an adrenal crisis as a result of the induction of CYP 3A4 which in turn leads to increased breakdown of cortisol. We report this rare phenomenon to increase awareness among healthcare professionals.

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Bibliographic Details
Main Authors: Vivek Pant, Santosh Pradhan
Format: Article
Language:English
Published: Association of Clinical Pathologists of Nepal 2023-07-01
Series:Journal of Pathology of Nepal
Subjects:
Online Access:https://www.nepjol.info/index.php/JPN/article/view/54455
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author Vivek Pant
Santosh Pradhan
author_facet Vivek Pant
Santosh Pradhan
author_sort Vivek Pant
collection DOAJ
description Starting rifampicin in patients with Addison’s disease or adrenal tuberculosis may precipitate an adrenal crisis as a result of the induction of CYP 3A4 which in turn leads to increased breakdown of cortisol. We report this rare phenomenon to increase awareness among healthcare professionals.
format Article
id doaj-art-0307e2499b424146a9b797ddc8df2b38
institution Kabale University
issn 2091-0797
2091-0908
language English
publishDate 2023-07-01
publisher Association of Clinical Pathologists of Nepal
record_format Article
series Journal of Pathology of Nepal
spelling doaj-art-0307e2499b424146a9b797ddc8df2b382025-08-21T07:00:52ZengAssociation of Clinical Pathologists of NepalJournal of Pathology of Nepal2091-07972091-09082023-07-011312026202610.3126/jpn.v13i1.5445581547ACTH more than 2000 pg/ml; is it immunoassay interference or another matter?Vivek Pant0https://orcid.org/0000-0002-3967-1851Santosh Pradhan1Samyak Diagnostic Pvt. Ltd. Lalitpur, NepalSamyak Diagnostic Pvt Ltd, Lalitpur, NepalStarting rifampicin in patients with Addison’s disease or adrenal tuberculosis may precipitate an adrenal crisis as a result of the induction of CYP 3A4 which in turn leads to increased breakdown of cortisol. We report this rare phenomenon to increase awareness among healthcare professionals.https://www.nepjol.info/index.php/JPN/article/view/54455adrenal crisisacthrifampicin
spellingShingle Vivek Pant
Santosh Pradhan
ACTH more than 2000 pg/ml; is it immunoassay interference or another matter?
Journal of Pathology of Nepal
adrenal crisis
acth
rifampicin
title ACTH more than 2000 pg/ml; is it immunoassay interference or another matter?
title_full ACTH more than 2000 pg/ml; is it immunoassay interference or another matter?
title_fullStr ACTH more than 2000 pg/ml; is it immunoassay interference or another matter?
title_full_unstemmed ACTH more than 2000 pg/ml; is it immunoassay interference or another matter?
title_short ACTH more than 2000 pg/ml; is it immunoassay interference or another matter?
title_sort acth more than 2000 pg ml is it immunoassay interference or another matter
topic adrenal crisis
acth
rifampicin
url https://www.nepjol.info/index.php/JPN/article/view/54455
work_keys_str_mv AT vivekpant acthmorethan2000pgmlisitimmunoassayinterferenceoranothermatter
AT santoshpradhan acthmorethan2000pgmlisitimmunoassayinterferenceoranothermatter