Cushing‘s syndrome
Description | Stage 1: Cortisol in the mornings Stage 2: Cortisol day profile (0800, 1200, 1700 hrs) or dexamethasone-test (see function tests), DHEAS, testosterone, 17-OH-progesterone or ACTH (frozen EDTA-plasma) Stage 3: Differential diagnosis between adrenal cortical tumor, central Cushing’s syndrome, ectopic ACTH-syndrome: Dexamethasone-long test, CRH-test (see function tests) Please note: There are increased cortisol values in case of estrogen intake (hormonal contraceptives, hormone substitution and others), adipositas. |