SeanS Posted December 20, 2003 Report Share Posted December 20, 2003 Journal of Clinical Endocrinology & Metabolism December 2003 Diagnosis and Complications of Cushing's Syndrome: A Consensus Statement http://jcem.endojournals.org/cgi/content/abstract/88/12/5593 This is an excellent paper! You can purchase it online for $15.00 It is definitely worth the money! Quote Link to comment Share on other sites More sharing options...
Over 2000 Posts Kristy Posted December 22, 2003 Author Over 2000 Posts Report Share Posted December 22, 2003 Yes it is good. There is an error though, one I see repeatedly. The dst-CRH test. The Dst-CRH test or Dex-CRH test is designed to distinguish pituitary Cushings disease from pseudo cushings. It is incorrectly listed as distinguishing Cushings Syndrome (all forms) from pseudo. The NIH studies (as well as others) clearly indicates the test is for pituitary disease. http://jcem.endojournals.org/cgi/reprint/83/2/348.pdf Under cure... Major centers... 70-80% remission... long term follow up is 25% recurrance. Under complications... Mortality rate 4x higher than age and gender matched controls. Cardiovascular Impaired glucose tolerance, diabetes Obesity Hyperlipidemia Coagulopathy Metabolic Syndrome Osteoporosis Psychologixal and cognitive alterations Alterations of other endocrine systems - GH, Gonads, Thyroid Bottom line... complications of CS may alter life expectancy and life quality even in patients 'cured' by surgery. Article says clinicians should diagnose treat complications.... strenous attempts to control hypercortisolism. I have full access to the article... and will share as long as copyright is followed. k Quote Link to comment Share on other sites More sharing options...
Over 2000 Posts DebMV Posted December 23, 2003 Over 2000 Posts Report Share Posted December 23, 2003 Dr. Findling was there... ...boy, if I had to choose a conference to go to, I'd lean towards one in Italy too!! Quote Link to comment Share on other sites More sharing options...
Over 2000 Posts dcrosley Posted December 23, 2003 Over 2000 Posts Report Share Posted December 23, 2003 Kristy, I'd like to have a copy of that article. If you wouldn't mind, could you mail one to me at 2968 Dunford Dr., Columbus, Oh 43221? My printer isn't working , but, if you prefer to e-mail it, that would be fine. Thanks diana Quote Link to comment Share on other sites More sharing options...
Over 2000 Posts Kristy Posted December 23, 2003 Author Over 2000 Posts Report Share Posted December 23, 2003 I'll drop it in the mail tomorrow... Quote Link to comment Share on other sites More sharing options...
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