Why do some autoimmune patients have weird stress hormone patterns?

Original Title

Does stress response axis activation differ between patients with autoimmune disease and healthy people?

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Summary

This study looked at how women with three autoimmune diseases react to stress compared to healthy women, by measuring cortisol in their saliva.

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Surprising Findings

Women with SLE and SS showed no cortisol activation during stress, contradicting the common belief that autoimmune diseases always mean a 'hypoactive' HPA axis.

Many prior studies claimed autoimmune patients have low cortisol—but here, two groups had no response at all, while a third had high baseline cortisol. This flips the script.

Practical Takeaways

If you have lupus or scleroderma and feel constantly drained or anxious, your body may be flooding you with cortisol even at rest—consider stress management techniques that regulate HPA axis activity.

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Publication

Journal

Stress and health : journal of the International Society for the Investigation of Stress

Year

2024

Authors

E. Montero-López, M. I. Peralta-Ramírez, N. Ortego-Centeno, J. Sabio, J. Callejas-Rubio, N. Navarrete-Navarrete, M. C. García-Ríos, A. Santos-Ruiz

Open Access
5 citations
Analysis v1