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Clinical Chemistry, Vol 21, 387-391, Copyright © 1975 by the American Association for Clinical Chemistry
1 Department of Laboratory Medicine, Mayo Clinic and Mayo
Foundation, Rochester, Minn, 55901.
We compared results obtained by (a) chemical (spectrophotometric) and competitive protein-binding assays for serum corticosteroids, and (b) competitive proteinbinding and radioimmunoassay, with and without CCl4 extraction, for serum cortisol. The two corticosteroid methods gave identical results. Radioimmunoassay with and without a CCl4 extraction step gave identical results for cortisol. Competitive protein-binding assays for cortisol (with and without CCl4 extraction) and radioimmunoassay for cortisol gave similar results. Specimens with above-normal corticosterone or 11-deoxycortisol concentrations are an exception: only methods that included CCl4 extraction gave correct values for cortisol; methods without such an extraction step overestimated cortisol. The normal serum corticosteroid concentration (mean ± SD) was 175 ± 53 µg/liter for morning specimens, and 103 ± 40 µg/liter for specimens collected in the afternoon. For cortisol, the corresponding values were 162 ± 44 and 82 ± 29 µg/liter.
Submitted on October 7, 1974
Accepted on December 20, 1974
The following articles in journals at HighWire Press have cited this article:
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J. C. Ritchie, B. J. Carroll, P. R. Olton, V. Shively, and M. Feinberg Plasma Cortisol Determination for the Dexamethasone Suppression Test: Comparison of Competitive Protein-Binding and Commercial Radioimmunoassay Methods Arch Gen Psychiatry, May 1, 1985; 42(5): 493 - 497. [Abstract] [PDF] |
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H. Y. Meltzer and V. S. Fang Cortisol Determination and the Dexamethasone Suppression Test: A Review Arch Gen Psychiatry, May 1, 1983; 40(5): 501 - 505. [Abstract] [PDF] |
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T. Maruta Dexamethasone Suppression Test: Technique and Accuracy Arch Gen Psychiatry, October 1, 1982; 39(10): 1217 - 1218. [Abstract] [PDF] |
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