Hypercortisolism: Difference between revisions
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#* Stone formers with cushingoid features also should receive a hypercortisolemia evaluation | #* Stone formers with cushingoid features also should receive a hypercortisolemia evaluation | ||
=== | === Labs === | ||
* '''Most frequently performed laboratory tests (3):''' | * '''<span style="color:#ff0000">Most frequently performed laboratory tests (3):''' | ||
*# '''Overnight low-dose dexamethasone suppression test (LD-DST)''' (sensitivity: 85-90, specificity: 95-99) | *# '''<span style="color:#ff0000">Overnight low-dose dexamethasone suppression test (LD-DST)</span>''' (sensitivity: 85-90, specificity: 95-99) | ||
*# '''Late-night salivary cortisol''' (sensitivity: 92-100, specificity: 93-100§) | *# '''<span style="color:#ff0000">Late-night salivary cortisol</span>''' (sensitivity: 92-100, specificity: 93-100§) | ||
*# '''24-hour urinary free cortisol''' (sensitivity: 80-98 specificity: 45-98) | *# '''<span style="color:#ff0000">24-hour urinary free cortisol</span>''' (sensitivity: 80-98 specificity: 45-98) | ||
** '''2011 CUA Guidelines on Incidental Adrenal Mass recommend LD-DST''' | ** '''<span style="color:#ff0000">2011 CUA Guidelines on Incidental Adrenal Mass recommend LD-DST</span>''' | ||
* Second-line tests: | * Second-line tests: | ||
** 2-day low-dose dexamethasone suppression test | ** 2-day low-dose dexamethasone suppression test | ||