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. Author manuscript; available in PMC: 2022 Sep 1.
Published in final edited form as: Eur J Endocrinol. 2022 Jul 25;187(3):429–437. doi: 10.1530/EJE-22-0285

Table 2:

Presentation and outcomes of patients with abnormal preoperative overnight dexamethasone suppression test.

Patient Year of evaluation Post 1-mg DST cortisol (nmol/L) Baseline ACTH (pmol/L) Baseline DHEA-S (nmol/L) 24-hour UFC (nmol/day) Histopathology Postoperative adrenal insufficiency
1 2003 66 - - - - -
2 2011 69 - - - Pseudocyst (hemorrhagic) No
3 2012 85.5 - - 14.1 Pseudocyst (hemorrhagic) No
4 2017 143.5 2.9 4855.5 151.8 Endothelial cyst Yes
5* 2021 149 <1.1 184.8 - Pseudocyst (hemorrhagic) Yes

Abbreviations used: . ACTH = adrenocorticotrophic hormone or corticotropin. DHEA-S = dehydroepiandrosterone sulfate. DST = dexamethasone suppression test; UFC, urinary free cortisol.

Reference range – Baseline ACTH 1.6–13.9 pmol/L. DHEA-S 1793–9214.4 nmol/L. Post DST cortisol ≤50 nmol/L. Urine free cortisol 9.7–127.2nmol/day

*

Patient on long-term prednisone therapy for rheumatoid arthritis and polymyalgia rheumatica