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Thyroid (Expert Forum)

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High AM 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 Dr. Mark Lupo. Topics covered include goiter, graves disease, Hashimoto's thyroiditis, hyperthyroid, hypothyroid, thyroid cancers, thyroiditis, and thyroid stimulating hormone (TSH).

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MedHelp Member's Question

High AM Cortisol

by laura1967, Jul 23, 2008 03:40PM

I am a hypothyroid with hashi's patient. I have had continual High AM Cortisol results since Feb. 2008. I have had normal 24 hr urine cortisol test, normal dexamethasone suppression test (overnight low dosage). My endo has suggested maybe we should still do an MRI of the pituitary and adrenals, because of several high results with the am cortisol tests. We have even discussed cyclical cushings possibly from a tumor.
What is your advice on this? Is there something being missed?
Thank you.

Doctor's Answer

by Mark Lupo, M.D.

, Jul 24, 2008 06:07AM

Unlikely something is being missed. Cyclical cushings is rare, but possible. Usually we don't do imaging with chemistry diagnosis as there are incidental adrenal and pituitary lumps that have no clinical significance, but a lack of such a lump may be reassuring.

Member Comments (2)

by stacey555, Jul 24, 2008 10:30AM

To: laura1967

I also have had high am cortisol for years and just heard of cyclical cushings for the forst time last week which I do think I have.

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