ea0063gp153 | Cushing's | ECE2019
Muller Dion R.P.
, Gent-Houben Moniek C.F.
, van Vessem-Timmermans Martine
, Linthorst Gabor E.
, Serlie Mireille J.
, Siegelaar Sarah E.
, Soeters Maarten R.
, Hillebrand Jacquelien J.
, Heijboer Annemieke C.
, Fliers Eric
, Bisschop Peter H.
, Jan Stenvers Dirk
Introduction: In patients with ACTH-dependent hypercortisolism, the corticotropin-releasing-hormone (CRH) test and the high dose dexamethasone suppression test (HDDST) can be used to differentiate between pituitary ACTH production (Cushings disease) and ectopic ACTH production. The rationale is that a pituitary adenoma will show some response to CRH and ACTH whereas an ectopic source is less responsive to ACTH and CRH. However, there is discussion about the clinical util...