Comparison of Paired Short Synacthen and Insulin Tolerance Tests Soon after Pituitary Surgery

The peak plasma cortisol response in each test was classified by comparison with a reference value of 550 nmol/L

R S Jackson; G D Carter; P H Wise; J Alaghband-Zadeh

2014

Scholarcy highlights

  • R S Jackson, G D Carter, P H Wise, and J Alaghband-Zadeh
  • The peak plasma cortisol response in each test was classified by comparison with a reference value of 550 nmol/L
  • On this basis there was a notable discrepancy between the ITT and SST results in only one patient who was tested 4 days after hypophysectomy
  • The close correlation between ITT and SST responses after pituitary surgery extends into the immediate post operative period and indicates that the latter test can be used to screen HPA axis function at this time

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