Topics:
Endocrinology • Pituitary Disorders
How often would you repeat testing in a patient suspected of Cyclic Cushing's?
And is there a preferred diagnostic test? Whenever cyclic hypercortisolemia is suspected, it is advised that evaluation should be repeated for months, if not years, depending on the severity of presented symptoms. But neither the frequency of testing nor use of a single test is particularly recommended.
Answer from: at Community Practice
24-hour urine-free cortisol and MN saliva cortisol are preferred tests over ON dex suppression. The exact frequency depends on the severity of the symptoms, generally about every 3 months.
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Answer from: at Academic Institution
I would check when the patient becomes symptomatic.