Concomitant medication can contribute to the diagnostic inaccuracy of the combined dexamethasone–corticotropin-releasing hormone (CRH) test in Cushing syndrome. The ability to differentiate between patients with true Cushing syndrome and those with pseudo-Cushing syndrome—a condition that mimics the signs...
The Cushing’s syndrome: an update on diagnostic tests. Ann Intern Med 1990; 112, 43444. Google Scholar Newell-Price J, Trainer P, Besser M, Grossman A. The diagnosis and differential diagnosis of Cushing’s syndrome and pseudo-Cushing’s states. Endocr Rev 1998; 19, 647–72. Article ...
OBJECTIVE: To evaluate which tests are performed to diagnose hypercortisolism in patients included in the European Registry on Cushing's syndrome (ERCUSYN), and to examine if their use differs from the current guidelines. PATIENTS AND METHODS: We analyzed data on the diagnostic tests performed in...
Diagnostic tests used to screen for Cushing's syndrome include 24-hour urine cortisol, the 1 mg dexamethasone suppresion test, and late night salivary cortisol. A normal screening test excludes the diagnosis of Cushing's. Patients with an abnormal screening test should be referred to an ...
Desmopressin testCRH testDexamethasone testEctopic Cushing’s syndromeMRIDiagnosing Cushing's syndrome (CS) can be a challenge, especially in ACTH-dependent CS, when it comes to detecting the origin of ACTH secretion. Retrospective data were collected on 170 patients with ACTH-dependent CS (149 CD...
Positively screened cases need stepwise evaluation by an endocrinologist. This paper discusses the importance of screening for CS and suggests a stepwise diagnostic approach to a case of suspected hypercortisolism. 展开 关键词: Cushing's syndrome dexamethasone suppression tests hypercortisolism salivary ...
Conclusion Cushing′s disease and adrenal adenoma are the most common causes in Cushing′s syndrome.We can concern about the tendentious clinical manifestations of Cushing′s syndrome. A combination of ACTH, 8 mg dexamethasone suppression test as well as the image assay is necessary for the ...
Endogenous Cushing's syndrome (CS) is a rare disease, and usually characterized by hypertension, diabetes, obesity, osteoporosis, facial rounding, dorsocervical fat pad, thin skin, purple striae, hirsutism, and mood disorders. Efficient diagnostic and screening strategies lead to the diagnosis of a...
Terzolo M, Reimondo G, Ali A, Borretta G, Cesario F, Pia A, et al. The limited value of the desmopressin test in the diagnostic approach to Cushing’s syndrome. Clin Endocrinol. 2001;54:609–16. ArticleCASGoogle Scholar Vilar L, Naves LA, Freitas MC, Moura E, Canadas V, Leal E...
Biemond P, de Jong FH, Lamberts SW. Continuous dexamethasone infusion for seven hours in patients with the Cushing syndrome. A superior differential diagnostic test. Ann Intern Med 1990; 112 (10): 738–742. Avgerinos PC, et al. The metyrapone and dexamethasone suppression tests for the di...