What level of HC were you taking before? Did you have the acne before or after the rise?
By HC level ok, what do you mean - do you test on meds - aka a 24 hour urine test?
At 30mg it can give you steroid induced Cushing's so geez, you don't need that on top of AI.
I also have a very high ACTH but I won't let the docs raise my HC super high as I used to have Cushing's and my body was already damaged. Your doc has to look for either a pituitary tumor or other acth-secreting tumor.
Earlier I was taking 15 mug of HC. But my ACTH went very high. The doctor increased my HC in a couple of steps first to 20 then 25 and finally 30. They test the cortisol level by blood test only. The morning of the test I do not take medicine before the test.
I got acne only when my ACTH level was diagnosed as high.
Can one get cushings on top of addisons??
You can get steroid-induced Cushing's for sure....
With the high ACTH, it sounds like something is going on in the pituitary - are they planning an MRI? Did your testing show secondary source before?
Usually acne is caused by high cortisol and not just ACTH - and a point in time test at one time of the day is uh... not good enough.
Any other symptoms?