STUDIES ON GLOMERULAR FILTRATION RATE AND RENAL PLASMA FLOW IN PITUITARY INSUFFICIENCY IN MAN INCLUDING MEASUREMENTS OF THE RENAL EXTRACTION OF PARA-AMINOHIPPURIC ACID

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Abstract
Clearances of inulin and para-aminohippuric acid as well as renal extraction of para-aminohippuric acid were studied in six hypophysectomized patients, in one case of craniopharyngioma and in two cases of chromophobe adenoma. All subjects showed evidence of adrenocortical insufficiency and received substitution therapy with cortisone (17,21-dihydroxy-pregn-4-ene-3,11,20-trione) at the time of this investigation. Thyroid insufficiency was demonstrated in only four cases. Glomerular filtration rate and renal plasma flow were decreased to a varying extent, the reduction being most marked in the hypothyroid subjects. Irrespective of the degree of reduction in glomerular filtration rate and renal plasma flow a normal renal extraction of para-aminohippuric acid was found.