Table 2.
Patient ID |
UFC (nmol/d) or [17OHCS (µmol/d)] (a) |
Plasma ACTH (pmol/l) (b) |
CRH Stim Test ( c ) |
HD Dex Suppr Test (d) |
IPSS Result (e) |
---|---|---|---|---|---|
Cushing's Disease Group | |||||
1 | 381, 488 | 5 | Pos | ND | Pos |
2 | 361,604 | 8 | Pos | Pos | Pos |
3 | 596, 579 | 13, 11 | Pos | Pos | Pos |
4 | 1020, 1098 | NA | NA | NA | NA |
5 | NA | NA | NA | NA | NA |
6 | 1076, 1214 | 4 | Pos | Pos | Pos |
7 | 1145, 1424 | 2,3 | Pos | Pos | Pos |
8 | 544, 999 | 5 | Pos | Pos | Pos |
9 | 836 | <1 | Pos | Pos | Pos |
10 | 731, 1244 | 4, 10 | Pos | Pos | Pos |
11 | 1021 | 15 | ND | Pos | Pos |
ACTH-independent Cushing's, Adrenal Tumor Group | |||||
12 | 552, 720 | 2 | Neg | Neg | ND |
13 | 684, 781 | 2 | Pos | Neg | Pos |
14 | 5518 | ND | ND | ND | ND |
Cushing's Syndrome from Unknown Etiology Group | |||||
15 | [ 52 ] | ND | ND | Neg | ND |
16 | 546, 646 | ND | ND | Neg | ND |
17 | 4701 | 2 | Pos | Pos | ND |
18 | 7035, 7932 | 29 | Neg | Neg | Pos |
19 | 883 | 3 | Pos | ND | Pos |
baseline urinary free cortisol or 17-hydroxy corticosteroid excretion at the time of initial presentation with Cushing’s syndrome; two representative values are provided when available, otherwise a single value is shown; normal range for urinary free cortisol 70–300 nmol/d; normal range for urinary 17-hydroxy corticosteroid 6–28 µmol/d.
baseline plasma ACTH at the time of initial presentation with Cushing’s syndrome; two representative values are provided when available, otherwise a single value is shown; normal range for ACTH 2–11 pmol/l.
CRH Stim Test positive result (Pos)= >35% increase in ACTH (measured at 15' and 30') above baseline; Neg = negative.
High dose dexamethasone suppression test result positive (Pos) if UFCs suppressed > 90% or urinary 17OHCS suppressed > 64%; Neg= negative.
Positive (Pos) indicates central-to-peripheral ACTH gradient of ≥ 3:1 observed with CRH stimulation during inferior petrosal sinus sampling.
Abbreviations: UFC, urinary free cortisol; 17OHCS, 17-hydroxy corticosteroids; HD, high dose; NA, result or data not available; ND, not determined.