ea0070aep604 | Pituitary and Neuroendocrinology | ECE2020
Bäcklund Nils
, Imamovic Marcus
, Brattsand Göran
, Lundstedt Staffan
, Aardal Elisabeth
, Olsson Tommy
, Dahlqvist Per
Context: Late-night salivary cortisol is a recommended screening method for Cushing’s syndrome. Liquorice intake may lead to falsely elevated salivary cortisol as glycyrrhizic acid inhibits the 11β-hydroxysteroid dehydrogenase type 2 induced conversion of cortisol to cortisone in the salivary glands. Furthermore, sample contamination by blood from the oral mucosa may also cause falsely elevated salivary cortisol levels. Salivary cortisone has been suggested to more ...