TY - JOUR
T1 - Cachectin
T2 - More Than a Tumor Necrosis Factor
AU - Beutler, B.
AU - Cerami, A.
PY - 1987/2/12
Y1 - 1987/2/12
N2 - THE metabolic impact of infectious and neoplastic disease states has long been known to clinicians.1 2 3 4 Invasive diseases may disrupt normal homeo-static mechanisms, both locally and systemically. For example, acute gram-negative infections frequently lead to profound metabolic acidosis and to biphasic changes in plasma glucose concentration, both seen in the context of hypotension, disseminated intravascular coagulation, and widespread tissue injury.5 6 7 8 9 10 11 12 Chronic infectious diseases, as well as neoplastic diseases, may provoke a severe wasting diathesis, in which negative calorie and nitrogen balance lead to death despite the absence of a large parasite or tumor burden. It was once widely believed that invasive…
AB - THE metabolic impact of infectious and neoplastic disease states has long been known to clinicians.1 2 3 4 Invasive diseases may disrupt normal homeo-static mechanisms, both locally and systemically. For example, acute gram-negative infections frequently lead to profound metabolic acidosis and to biphasic changes in plasma glucose concentration, both seen in the context of hypotension, disseminated intravascular coagulation, and widespread tissue injury.5 6 7 8 9 10 11 12 Chronic infectious diseases, as well as neoplastic diseases, may provoke a severe wasting diathesis, in which negative calorie and nitrogen balance lead to death despite the absence of a large parasite or tumor burden. It was once widely believed that invasive…
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U2 - 10.1056/NEJM198702123160705
DO - 10.1056/NEJM198702123160705
M3 - Review article
C2 - 3543677
AN - SCOPUS:0023118407
SN - 0028-4793
VL - 316
SP - 379
EP - 385
JO - New England Journal of Medicine
JF - New England Journal of Medicine
IS - 7
ER -