Endocrine Abstracts

Introduction: Measurements of midnight salivary cortisol, 24-hour urinary free cortisol (UFC) and 1mg overnight Dexamethasone (DXM) suppression test (short DST) represent classical first line screening tests to diagnose Cushing syndrome. In women using combined Estrogen–Progestogen contraception, cortisol response during short DST is often decreased, leading to false positive (FP = morning plasma cortisol post-DST > 50 nmol/l).Purpose: The main ...

Background and aim: Insulin tolerance test (ITT) is the gold standard for the diagnosis of cortisol and growth hormone deficiencies in adults. Once hypoglycaemia (<40 mg/dl) is achieved, some medical centers give sugar to their patients (food, drink or glucose infusion), others do not and let the blood glucose rise spontaneously. Although critical hypoglycaemia results in discomfort and potential complications for the patients there is so far no recommendation on the subje...

Background: Thyroid autoimmunity (TAI) is the most important cause of hypothyroidism in the general population, and its prevalence is higher in women of subfertile couples.1 Women pregnant after an assisted reproductive technology (ART) with TAI carry a higher risk of a first trimester miscarriage rate compared to women without TAI. Several reasons could be underlying such as thyroid dysfunction, older age, an immune imbalance, and the presence of thyrotropin recept...