Aa
ACTH stimulation test
I am curious, when you all got your dx, you may have had the ACTH stimulation test. I was wondering what your results were. Mine shows 17 in a reference range of 10 to 60. Is that bad?
Morning cortisol or stimulation tests can be repeated every few months until the morning cortisol level is greater than 18 micrograms/dL, or the appropriate stimulation test confirms hypothalamic-pituitary-adrenal axis integrity.
epocrates
...Or you fall into the bad zone.
I think I've read that some doctors put people on a trial of medicine if they are lowish and symptomatic.
Note: micrograms/dL = ug/dL
epocrates
...Or you fall into the bad zone.
I think I've read that some doctors put people on a trial of medicine if they are lowish and symptomatic.
Note: micrograms/dL = ug/dL
I wonder what the next test would be if you fall in the "indeterminate" range. Hmmm....
"Cortrosyn is a synthetic corticotropin, which is intravenously administered with a dose of 350 mg. Serum cortisol levels are measured from blood samples drawn after 30 and 60 minutes. Peak serum cortisol levels greater than 18 mcg/dL exclude the diagnosis of adrenal insufficiency because the response to stimulation is considered adequate at this level. Cortisol levels of 13-17 mcg/dL are indeterminate. Cortisol levels of less than 13 mcg/dL suggest adrenal insufficiency."
emedicine
emedicine
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