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Published Online: August 1953

STUDIES IN RESPONSIVITY OF THE ADRENAL CORTEX IN SCHIZOPHRENIA

Publication: American Journal of Psychiatry

Abstract

Eleven chronically hospitalized schizophrenic patients, in good physical and nutritional health, were studied by hourly eosinophile and lymphocyte counts after injections of saline and ACTH on consecutive days.
Wide variations in the fasting levels of these blood elements existed among different patients and in the same patients from day to day.
Saline elicited variations in eosinophile counts so that 5 of 11 subjects showed decreases of 50% or more after 4 hours. The lymphocytes varied by at least 29% for each subject at some point in the study after saline was injected.
The response of the eosinophiles to ACTH was greatest 3 hours after injection.
Ten of the 11 subjects showed a 50% or more variation in eosinophiles at some point in the procedure. All 11 subjects had more than a 50% variation in their lymphocyte counts.
The adrenal cortical response of the schizophrencis we have studied, as measured by the eosinophile and lymphocyte responses to ACTH and by physiological variation, falls within the normal range.
Studies of the 17-ketosteroid and corticosteroid excretion after ACTH in 11 cases of acute schizophrenia also showed varying responses in different subjects.

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Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: 124 - 129
PubMed: 13065526

History

Published in print: August 1953
Published online: 1 April 2006

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ROBERT DICKES
The Department of Psychiatry of the State University of New York, College of Medicine, and the Kings County Hospital, Brooklyn, New York.
GERALD H. FLAMM
The Department of Psychiatry of the State University of New York, College of Medicine, and the Kings County Hospital, Brooklyn, New York.
WENDELL BOWMAN
The Department of Psychiatry of the State University of New York, College of Medicine, and the Kings County Hospital, Brooklyn, New York.
EDWARD B. HOLLANDER
The Department of Psychiatry of the State University of New York, College of Medicine, and the Kings County Hospital, Brooklyn, New York.
HOWARD W. POTTER
The Department of Psychiatry of the State University of New York, College of Medicine, and the Kings County Hospital, Brooklyn, New York.

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