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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

2 doctors weighed in
Dr. Anne Phelan-adams
Family Medicine
1 doctor agrees

In brief: 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!

In brief: 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!
Dr. Anne Phelan-adams
Dr. Anne Phelan-adams
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