Pregnancy is a state of physiologic hypercortisolism. Management of adrenal insufficiency during pregnancy includes adjustment of therapy to physiologic needs and avoidance of adrenal crisis through an in-depth education, availability,…
Workup for corticotropin (ACTH)-independent hypercortisolism is required in any patient with an adrenal mass, regardless of symptoms of hormone excess. Unfortunately, only a minority of patients with adrenal incidentalomas undergo…
Androgen hypersecretion in postmenopausal women may be due to an ovarian tumor, an adrenal tumor, ovarian hyperthecosis, or nonclassic congenital adrenal hyperplasia. The expansiveness of the diagnostic evaluation of a…
Androgen hypersecretion in a premenopausal woman may be due to an ovarian tumor, an adrenal tumor, polycystic ovarian syndrome, or nonclassic congenital adrenal hyperplasia. The expansiveness of the diagnostic evaluation…
Androgen hypersecretion in a premenopausal woman may be due to an ovarian tumor, an adrenal tumor, polycystic ovarian syndrome, or nonclassic congenital adrenal hyperplasia. The expansiveness of the diagnostic evaluation…
Postmenopausal androgen hypersecretion may be due to an ovarian tumor, an adrenal tumor, or ovarian hyperthecosis. It is important to assess the patient with a full androgen profile and imaging…
Endocrinologists have a “love-hate relationship” with the measurement of dehydroepiandrosterone sulfate (DHEA-S). Measurement of serum DHEA-S concentration is very useful when it is either very low or very high in…
It is not an uncommon scenario for a patient to be referred to an endocrinologist for an adrenal mass that proves to not be an adrenal mass. Surgically resected nonadrenal…
The most common type of congenital adrenal hyperplasia (CAH) is 21-hydroxylase deficiency, which occurs in 1 in 10,000 live births. The goals of therapy in CAH include (1) replacement therapy…
Adrenal tumors in patients with congenital adrenal hyperplasia (CAH) are common, affecting 25%–30% of patients, and are associated with suboptimal control of CAH. Here we present a case of a…
