Abstract
1) A stable group of hemodialysis patients in our study do not have a normal response to the cosyntropin test; 2) although one would expect chronic renal failure patients to accommodate to hemodialysis, our study demonstrates that hemodialysis may still serve as a useful stress test; 3) the reduced response to the metyrapone suppression test in our stable group of hemodialysis patients suggests impairment of the feedback mechanism of the pituitary-adrenal axis.
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