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What Tests Should Be Done For Adrenal Insufficiency?

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Posted on Fri, 14 Nov 2014
Twitter Fri, 14 Nov 2014 Answered on
Twitter Fri, 12 Dec 2014 Last reviewed on
Question : What tests do you recommend for adrenal insufficiency and Addison's disease, including possible auto immune causes? Thank you
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Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
tests for XXXXXXX

Detailed Answer:
Hi,
Thank you for contacting HCM. For most patients, 8 Am serum cortisol level and plasma ACTH levels are tested along with a high dose ACTH stimulation test. For new or recent onset XXXXXXX a low dose ACTH stimulation test can also be done. Using these tests if the adrenal insufficiency is confirmed, further evaluation of mineralocorticoid activity ie Plasma renin activity and aldosterone testing should be followed.
Once addisons workup is done , abdominal CT should be performed to look up for the enlarged adrenals, infectious causes, hemorrhage, metastasis, or calcification from TB which helps in defining etiology.
For determining etiology , lets say its autoimmune an analysis of other autoimmune diseases like vitiligo . Serum phosphate, calcium, glucose and thyrotropin may be measured for other autoimmune disorders.
Hope it helps.
Dr. Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

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What Tests Should Be Done For Adrenal Insufficiency?

Brief Answer: tests for XXXXXXX Detailed Answer: Hi, Thank you for contacting HCM. For most patients, 8 Am serum cortisol level and plasma ACTH levels are tested along with a high dose ACTH stimulation test. For new or recent onset XXXXXXX a low dose ACTH stimulation test can also be done. Using these tests if the adrenal insufficiency is confirmed, further evaluation of mineralocorticoid activity ie Plasma renin activity and aldosterone testing should be followed. Once addisons workup is done , abdominal CT should be performed to look up for the enlarged adrenals, infectious causes, hemorrhage, metastasis, or calcification from TB which helps in defining etiology. For determining etiology , lets say its autoimmune an analysis of other autoimmune diseases like vitiligo . Serum phosphate, calcium, glucose and thyrotropin may be measured for other autoimmune disorders. Hope it helps. Dr. Khan