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. 2016 Jul 1;5(4):R12–R25. doi: 10.1530/EC-16-0029

Table 2.

Causes of reduced BIPSS performance.

False negative False positive
Cyclic or mild CD Cyclic EAS
Low responsiveness to CRH stimulation of corticotrophic tumor Cortisol-lowering treatment in EAS
Corticotrophic tumor ectopically located in sphenoidal sinus Very low peripheral ACTH levels
CRH producing ectopic tumors