Recent challenges in the diagnosis of Cushing's syndrome

Hormone Research

Volumn 71, Issue SUPPL. 1, 2009, Pages 123-127

  Pecori Giraldi, Francesca ^a  

^a UNIVERSITY OF MILAN   (Italy)

Author keywords

Cortisol; Cushing's disease; Cushing's syndrome; Ectopic adrenocorticotrophic hormone secretion; Pituitary adenoma

Indexed keywords

CORTICOTROPIN RELEASING FACTOR; DESMOPRESSIN; DEXAMETHASONE; HYDROCORTISONE;

ACTH SECRETING ADENOMA; CONFERENCE PAPER; CORTICOTROPIN BLOOD LEVEL; CORTICOTROPIN TEST; CUSHING SYNDROME; DEXAMETHASONE SUPPRESSION TEST; DIAGNOSTIC ACCURACY; DIFFERENTIAL DIAGNOSIS; DRUG MEGADOSE; ECTOPIC CORTICOTROPIN PRODUCTION; HORMONE DETERMINATION; HUMAN; HYDROCORTISONE BLOOD LEVEL; HYDROCORTISONE URINE LEVEL; INFERIOR PETROSAL SINUS; LOW DRUG DOSE; PRIORITY JOURNAL; URINALYSIS;

ACTH SYNDROME, ECTOPIC; ACTH-SECRETING PITUITARY ADENOMA; ADRENOCORTICOTROPIC HORMONE; ALGORITHMS; CUSHING SYNDROME; DIAGNOSIS, DIFFERENTIAL; DIAGNOSTIC TECHNIQUES, ENDOCRINE; HUMANS; PETROSAL SINUS SAMPLING; PITUITARY NEOPLASMS;

EID: 58549104539     PISSN: 03010163     EISSN: None     Source Type: Journal    
DOI: 10.1159/000178053     Document Type: Conference Paper

References (13)

1. Arnaldi G, Angeli A, Atkinson AB, Bertagna X, Cavagnini F, Chrousos GP, Fava GA, Findling JW, Gaillard RC, Grossman AB, Kola B, Lacroix A, Mancini T, Mantero F, Newell-Price J, Nieman LK, Sonino N, Vance ML, Giustina A, Boscaro M: Diagnosis and complications of Cushing's syndrome: a consensus statement. J Clin Endocrinol Metab 2003;88:5593-5602.
2. Pecori Giraldi F, Ambrogio AG, De Martin M, Fatti LM, Scacchi M, Cavagnini F: Specificity of first-line tests for the diagnosis of Cushing's syndrome: assessment in a large series. J Clin Endocrinol Metab 2007;92:4123-4129.
3. Nieman LK, Biller BMK, Findling JW, Newell-Price J, Savage MO, Stewart PM, Montori VM: Diagnosis of Cushing's syndrome: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 2008;93:1526-1540.
4. Pecori Giraldi F, Pivonello R, Ambrogio AG, De Martino MC, De Martin M, Scacchi M, Colao A, Toja PM, Lombardi G, Cavagnini F: The dexamethasone- suppressed corticotropin-releasing hormone stimulation test and the desmopressin test to distinguish Cushing's syndrome from pseudo-Cushing's states. Clin Endocrinol 2006;66:251-257.
5. Martin NM, Dhillo WS, Banerjee A, Abdulali A, Jayasena CN, Donaldson M, Todd JF, Meeran K: Comparison of the dexamethasone-suppressed corticotrophin-releasing hormone test and low-dose dexamethasone suppression test in the diagnosis of Cushing's syndrome. J Clin Endocrinol Metab 2006;91:2582-2586.
6. Cavagnini F, Pecori Giraldi F: Adrenal causes of hypercortisolism; in DeGroot LJ, Jameson L (eds): Endocrinology, ed 5. Philadelphia, Elsevier, 2005, pp 2353-2386.
7. Invitti C, Pecori Giraldi F, De Martin M, Cavagnini F, the Study Group of the Italian Society of Endocrinology on the Pathophysiology of the Hypothalamic-Pituitary-Adrenal Axis: Diagnosis and management of Cushing's syndrome: results of an Italian multicentre study. J Clin Endocrinol Metab 1999;84:440-448.
8. Findling JW, Raff H: Cushing's syndrome: important issues in diagnosis and management. J Clin Endocrinol Metab 2006;91:3746-3753.
9. Reimondo G, Pia A, Bovio S, Allasino B, Daffara F, Paccotti P, Borretta G, Angeli A, Terzolo M: Laboratory differentiation of Cushing's syndrome. Clin Chim Acta 2008;388:5-14.
10. Newell-Price J, Bertagna X, Grossman AB, Nieman LK: Cushing's syndrome. Lancet 2006;367:1605-1617.
11. Testa RM, Albiger N, Occhi G, Sanguin F, Scanarini M, Berlucchi S, Gardiman MP, Carollo C, Mantero F, Scaroni C: The usefulness of combined biochemical tests in the diagnosis of Cushing's disease with negative pituitary magnetic resonance imaging. Eur J Endocrinol 2007;156:241-248.
12. Melmed S: Evaluation of pituitary masses; in DeGroot LJ, Jameson L (eds): Endocrinology, ed 5. Philadelphia, Elsevier, 2005, pp 387-395.
13. Ilias I, Torpy DJ, Pacák K, Mullen N, Wesley R, Nieman LK: Cushing's syndrome due to ectopic corticotropin secretion: twenty years' experience at the National Institutes of Health. J Clin Endocrinol Metab 2005;90:4955-4962.