A 44-year-old female asked:
Disclaimer

tsh level: 0, t3/t4 normal, cortisol thru the roof, lymphocytes elevated, bp: 160/100 and waking @ 3am. md saying it's hypothyroid. i disagree. help?

1 doctor answer
Dr. Alvin Lin
Dr. Alvin Lin answered
29 years experience Geriatrics
Cushing syndrome: Cortisol thru the roof is Cushing syndrome until ruled out. Our job is to figure out why this is happening. Taking steroids can do this but shouldn't affect thyroid. I'd be more concerned about pituitary adenoma which can cause both Cushing AND central hypothyroidism (usually low TSH means hyperthyroidism) but in case of space occupying lesion in pituitary, it may put out ACTH in favor of TSH.
Answered on Nov 16, 2015
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