Adrenal insufficiency: physiology, clinical presentation and diagnostic challenges

J Martin-Grace, R Dineen, M Sherlock, CJ Thompson - Clinica chimica acta, 2020 - Elsevier
Adrenal insufficiency (AI) is a serious condition, which can arise from pathology affecting the
adrenal gland itself (primary adrenal insufficiency, PAI), hypothalamic or pituitary pathology …

Pituitary tumors centers of excellence

S Frara, G Rodriguez-Carnero… - Endocrinology and …, 2020 - endo.theclinics.com
In recent years, the need for centers of excellence (COEs), for patients to receive the most
innovative diagnostic work-up and best medical care, has become increasingly urgent …

The evaluation of incidentally discovered adrenal masses

A Vaidya, A Hamrahian, I Bancos, M Fleseriu… - Endocrine Practice, 2019 - Elsevier
Objective: The objective of this Disease State Clinical Review is to provide clinicians with a
practical approach to the evaluation of incidentally discovered adrenal masses. Methods: A …

Hypercortisolemia recurrence in Cushing's disease; a diagnostic challenge

JM Hinojosa-Amaya, EV Varlamov… - Frontiers in …, 2019 - frontiersin.org
Cushing's disease recurrence following successful pituitary surgery is common and merits
prompt and careful diagnosis, as untreated hypercortisolism leads to increased morbidity …

Assay-specific spurious ACTH results lead to misdiagnosis, unnecessary testing, and surgical misadventure—A case series

LW Greene, EB Geer, G Page-Wilson… - Journal of the …, 2019 - academic.oup.com
The proper clinical evaluation of pituitary and adrenal disorders depends on the accurate
measurement of plasma ACTH. The modern two-site sandwich ACTH immunoassay is a …

Recognition of nonneoplastic hypercortisolism in the evaluation of patients with cushing syndrome

JW Findling, H Raff - Journal of the Endocrine Society, 2023 - academic.oup.com
The evaluation of suspected hypercortisolism is one of the most challenging problems in
medicine. The signs and symptoms described by Dr Harvey Cushing are common and often …

The definition of remission and recurrence of Cushing's disease

JM Hinojosa-Amaya, D Cuevas-Ramos - Best Practice & Research Clinical …, 2021 - Elsevier
Accurate classification of postsurgical remission, and early recognition of recurrence are
crucial to timely treat and prevent excess mortality in Cushing's Disease, yet the criteria used …

An intact ACTH LC-MS/MS assay as an arbiter of clinically discordant immunoassay results

J Shi, P Dhaliwal, Y Zi Zheng, T Wong… - Clinical …, 2019 - academic.oup.com
BACKGROUND Measurement of plasma adrenocorticotropic hormone (ACTH) is key in the
differential diagnosis of hypothalamic-pituitary-adrenal disorders. Two-site sandwich …

Pitfalls in the diagnosis and management of hypercortisolism (Cushing syndrome) in humans; a review of the laboratory medicine perspective

KC Flowers, KE Shipman - Diagnostics, 2023 - mdpi.com
Biochemical confirmation of a diagnosis of hypercortisolism (Cushing syndrome) is vital to
direct further investigations, especially given the overlap with non-autonomous conditions …

ATP-binding cassette family C member 1 constrains metabolic responses to high-fat diet in male mice

E Villalobos, A Miguelez-Crespo… - Journal of …, 2024 - joe.bioscientifica.com
Glucocorticoids modulate glucose homeostasis, acting on metabolically active tissues such
as liver, skeletal muscle, and adipose tissue. Intracellular regulation of glucocorticoid action …