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. Author manuscript; available in PMC: 2013 Mar 1.
Published in final edited form as: Clin Endocrinol (Oxf). 2012 Mar;76(3):379–386. doi: 10.1111/j.1365-2265.2011.04220.x

Table 2.

Biochemical and dynamic testing results of multiple endocrine neoplasia type 1 patients with Cushing’s syndrome.



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
(a)

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.

(b)

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.

(c)

CRH Stim Test positive result (Pos)= >35% increase in ACTH (measured at 15' and 30') above baseline; Neg = negative.

(d)

High dose dexamethasone suppression test result positive (Pos) if UFCs suppressed > 90% or urinary 17OHCS suppressed > 64%; Neg= negative.

(e)

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.