Intended for healthcare professionals

Letters Stress related disorders and physical health

Immunomodulation: new avenues for treatment

BMJ 2019; 367 doi: (Published 03 December 2019) Cite this as: BMJ 2019;367:l6785
  1. Laurence Astill Wright, Medical Research Council clinical research fellow
  1. Division of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, Cardiff CF24 4HQ, UK

Song et al’s thought provoking paper and the accompanying editorial by Bisson highlight the life limiting sequelae of chronic hypothalamic pituitary adrenal (HPA) axis dysregulation secondary to post-traumatic stress disorder (PTSD).12 While these chronic inflammatory effects of PTSD are also associated with huge cardiac morbidity and mortality,3 and an increase in …

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