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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
high acth and cortisol
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
high acth and cortisol
by KHan82, Mar 26, 2008 03:02PM
Hello! I'm a 26 year old, otherwise healthy female. I recently had blood work done because of neck and back pain I've been experiencing. My blood tests indicated high ACTH and cortisol. I've taken two 24 hour urine tests for cortisol that came out normal. My doctor ruled out Cushing's disease. He wants me to get cortisol and acth tested again. Is that really necessary if both cortisol tests were normal?
Doctor's Answer
by Mark Lupo, M.D., Mar 27, 2008 06:08AM
, Mar 27, 2008 06:08AM
24h urine tests are more sensitive than random blood tests -- would ask your endocrinologist why more blood testing is necessary. Sometimes stress can cause high blood ACTH and cortisol.
