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Table 1 The results of endocrinological examinations for the diagnosis of SCD in 2014

From: Severe infection including disseminated herpes zoster triggered by subclinical Cushing’s disease: a case report

Basal levels of ACTH and cortisol

 ACTH (pg/mL)

128.1

 plasma cortisol (µg/dL)

11.2

 urinary cortisol (µg/day)

116.6

Screening tests

 plasma cortisol levels with 0.5 mg overnight DST (µg/dL)

5.5

 ACTH levels with 0.5 mg overnight DST (pg/mL)

99.55

 plasma cortisol levels during night time sleep (µg/dL)

13.0

Differential diagnosis of Cushing’s disease from EAS

 CRH test

Not performed

 (With consideration for the risk of pituitary apoplexy)

 

 plasma cortisol levels with 8 mg overnight DST (µg/dL)

7.1

 ACTH levels with 8 mg overnight DST (pg/mL)

70.19

  1. ACTH adrenocorticotropic hormone, CRH corticotropin releasing hormone, DST dexamethasone suppression test, EAS ectopic adrenocorticotropic syndrome, SCD subclinical Cushing’s disease