TY - JOUR
T1 - Diagnostic Testing for Elevated Cortisol in the Setting of an Adrenal Mass
AU - Ospina, Naykky Singh
AU - Young, William F.
AU - Ghayee, Hans K.
N1 - Publisher Copyright:
© 2018 American Medical Association. All rights reserved.
PY - 2018/10/2
Y1 - 2018/10/2
N2 - A 66-year-old man with history of type 2 diabetes, hypertension, and dyslipidemia presented with a 3.1-cm left adrenal mass, detected on a computed tomographic (CT) scan (performed to evaluate bilateral lung infiltrates identified on chest radiograph during evaluation of chronic cough). He had no headache, palpitations, fatigue, muscle weakness, or weight change. His medications were glipizide, metformin, metoprolol, and atorvastatin. He had no history of fractures or osteoporosis. His blood pressure was 139/88 mm Hg, heart rate 92 beats/min, and body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) 37.0. Purple striae, proximal muscle weakness or supraclavicular fat pads were not present. The mass was round and homogenous with a CT attenuation of 24 Hounsfield units (HU). Laboratory evaluation was performed (Table).
AB - A 66-year-old man with history of type 2 diabetes, hypertension, and dyslipidemia presented with a 3.1-cm left adrenal mass, detected on a computed tomographic (CT) scan (performed to evaluate bilateral lung infiltrates identified on chest radiograph during evaluation of chronic cough). He had no headache, palpitations, fatigue, muscle weakness, or weight change. His medications were glipizide, metformin, metoprolol, and atorvastatin. He had no history of fractures or osteoporosis. His blood pressure was 139/88 mm Hg, heart rate 92 beats/min, and body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) 37.0. Purple striae, proximal muscle weakness or supraclavicular fat pads were not present. The mass was round and homogenous with a CT attenuation of 24 Hounsfield units (HU). Laboratory evaluation was performed (Table).
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U2 - 10.1001/jama.2018.13351
DO - 10.1001/jama.2018.13351
M3 - Review article
C2 - 30326492
AN - SCOPUS:85053684092
SN - 0002-9955
VL - 320
SP - 1373
EP - 1374
JO - JAMA - Journal of the American Medical Association
JF - JAMA - Journal of the American Medical Association
IS - 13
ER -