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Contrary to the induction phase, corticosteroids do not modify the time-dependent decay of PCT and CRP when the underlying infectious disease (CAP) is adequately treated. Furthermore, the high concentration of corticosteroids used in the PCT does not modify the progression of CAP (26). This discrepancy with the hypothesis that corticosteroid therapy reduces CAC levels (2) is particularly alarming, for several reasons, buy steroids edinburgh. First, the fact that corticosteroids have no effect on the time-dependent changes of the immunological response is consistent with their potential contribution to the acute inflammatory response that precedes or complements the acute phase (27). Second, the mechanisms that mediate the decrease in corticosteroid levels in the early phase of CAP have not been defined, buy steroids birmingham uk. The effects of corticosteroids are presumably mediated by either an alteration in the permeability of the inflammatory milieu (28), or an increase in the expression of proinflammatory cytokines and chemokines (21, 28), decay of logos. Third, our work on the effects of corticosteroids on CAP in patients with CAP diagnosed as chronic inflammatory disease (ACID) suggests that the change in corticosteroid levels in the PCT is largely due to the rapid increase in the level of circulating immune cells. We hypothesized that these circulating immune cells would influence the pathogenesis of the inflammation caused by a single disease episode (23), but the observed change in the levels of circulating immune cells in the late phase of CAP in these patients is not necessarily consistent with this hypothesis, for reasons that will be discussed later in this review. It is interesting to note that in the study of Lappeenranta et al, buy steroids edinburgh. (21), the increase in CRP and corticosteroid levels in the early phase of CAP was accompanied by an increase in the expression of anti-inflammatory cytokines in the serum of the CAC-positive patients, buy steroids edinburgh. As such, the data in this study also suggest that the effect of the acute inflammatory response on cortisol could be mediated, at a cellular level, by the presence of a pro-inflammatory cytokine, as observed in the patients with CAP in this study, buy steroids best. In a similar way, it is possible that the increase in the level of circulating immune cells also contributes to the increase in circulating PCT levels observed in this study. To our knowledge, no study has examined whether the acute phase effect of corticosteroid therapy is mediated by an alteration in the level of intracellular inflammation, decay of logos.
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