[Hormones as biomarkers for diagnosis and prognosis]

Praxis (Bern 1994). 2012 Feb 15;101(4):251-7. doi: 10.1024/1661-8157/a000837.
[Article in German]

Abstract

Procalcitonin is a biomarker for estimating the likelihood of a bacterial infection. Procalcitonin-guided antibiotic therapy can reduce antibiotic overuse in respiratory tract infections. The differential diagnosis of water-electrolyte imbalances is challenging. Copeptin is co-secreted with arginine vasopressin (AVP) and is a reliable surrogate of plasma AVP. Copeptin may become a useful diagnostic tool in patients with polydipsia-polyuria syndrome and hyponatremia. Copeptin is also known to mirror different levels of stress. It appears to have an interesting potential as a new prognostic biomarker in patients with ischemic stroke. Biomarkers should not be used without the clinical context. They are meant to complement clinical judgment based upon a synthesis of available clinical and laboratory features in each patients.

Publication types

  • Review

MeSH terms

  • Arginine Vasopressin / blood
  • Bacterial Infections / blood
  • Bacterial Infections / diagnosis
  • Biomarkers / blood*
  • Calcitonin / blood
  • Calcitonin Gene-Related Peptide
  • Cerebral Infarction / blood
  • Cerebral Infarction / diagnosis
  • Diagnosis, Differential
  • Glycopeptides / blood
  • Hormones / blood*
  • Humans
  • Hydrocortisone / blood
  • Ischemic Attack, Transient / blood
  • Ischemic Attack, Transient / diagnosis
  • Predictive Value of Tests
  • Prognosis
  • Protein Precursors / blood
  • ROC Curve
  • Respiratory Tract Infections / blood
  • Respiratory Tract Infections / diagnosis

Substances

  • Biomarkers
  • CALCA protein, human
  • Glycopeptides
  • Hormones
  • Protein Precursors
  • copeptins
  • Arginine Vasopressin
  • Calcitonin
  • Calcitonin Gene-Related Peptide
  • Hydrocortisone