Abstract
The results of treatment of 112 patients with various prepns. of ACTH are summarized. No increase in response occurred on raising the size of a single dose over 10 mg., and 4-5 mg. appeared to represent the physiological dose. Dosages seemed best judged by eosinophile response. Total daily dose is small (20-25 mg./day) when given divided in 4-5 injns. For children over 7 yrs. old, dose is proportional to wt.; younger children are refractory; but in these patients treatment with chorionic gonadotropin increases the ACTH effectiveness. The mechanism of ACTH action is believed to be associated with its effects on depolymerization of intercellular mucopolysaccharides.
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