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Diagnostic accuracy of increased urinary cortisol/cortisone ratio to differentiate ACTH‐dependent Cushing's syndrome

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Differential diagnosis between Cushing's Disease (CD) and Ectopic ACTH Syndrome (EAS) may be a pitfall for endocrinologists. The increasing use in clinical practice of chromatography and mass spectrometry improves the… Click to show full abstract

Differential diagnosis between Cushing's Disease (CD) and Ectopic ACTH Syndrome (EAS) may be a pitfall for endocrinologists. The increasing use in clinical practice of chromatography and mass spectrometry improves the measurement of urinary free cortisol (UFF) and cortisone (UFE). We have recently observed that cortisol to cortisone ratio (FEr) was higher in a small series of EAS; in this study we collected a larger number of ACTH‐dependent Cushing's Syndrome (CS) to study the role of FEr to characterize the source of corticotropin secretion.

Keywords: acth dependent; cushing syndrome; dependent cushing; cortisone; cortisol cortisone; cortisone ratio

Journal Title: Clinical Endocrinology
Year Published: 2017

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