A member asked:

Hi doctor. my acth is 5.5 and dexamethasone supp cortisol is 3.9. i am 33 years old with a recent onset of symptoms of uncontrolled htn, significant weight gain (abdominal), extreme fatigue, easy bruising, edema and headaches. i was referred to see an end

A doctor has provided 1 answer

I understand why...: ...your doctor referred u to an endocrinologist. Many of your symptoms are consistent with Cushing Disease caused by overproduction of ACTH in the pituitary gland. But your low normal ACTH & normal DST suggest otherwise. Cushing's syndrome can also be caused by prolonged use of corticosteroids or a primary tumor of the adrenal gland, A good endocrinologist can figure this out! Best wishes!

Answered 10/24/2015

2.1k views

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