Dear all,
We currently have a patient very similar to the one posted here by Avril Wayte in August.
The patient is a 62 year old gentleman with an incidentally found adrenal mass, negative screen for phaeo and aldosteronism. Two 24 hour UFC have been well within the normal range at 38nmol and 44nmol but he has failed to suppress his cortisol post dexamethasone on several occassions (post dex cortisol 135-176nmol/L). He is asymptomatic, not obese and not depressed.
Unlike Avril's patient this gentleman is only on Thyroxine and Aspirin so drug interfernce seems unlikely?
Any suggestions would be very welcome!
Fiona Davidson
Pre-Reg Clinical Biochemist
Kingston Hospital NHS Trust
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