Question: I was on prednisone for another medical condition and have tapered off. It is unclear at this point whether the medication caused Cushing’s symptoms. How long after stopping prednisone do I need to wait to be tested for endogenous Cushing’s? Answer: Steroid medications are the most frequent form of Cushing’s syndrome. High dose, long… Continue Reading
Author Archives: kkc
Colonoscopy and Stress Dose Replacement Need
Question: I am on cortisone replacement and am scheduled for a colonoscopy. Do I need to tell my doctors that I need a stress dose of hydrocortisone? Answer: I recommend that my patients be given intravenous hydrocortisone, usually 50 mg, just before the colonoscopy to cover the stress and light anesthesia for the procedure. By… Continue Reading
Age and Replacement Dose
Question: I have been on permanent replacement hydrocortisone for many years. Is there a need to increase or decrease my replacement dose as I age? Answer: This is a very good question. There is no literature that I am aware of that has addressed this specifically. However, as we age, we are at higher risk… Continue Reading
Negative MRI Results
Question: How often are pituitary tumors not seen on an MRI? Answer: Most pituitary tumors causing Cushing’s are small (< 1 cm) and are seen on pituitary MRI in about 60% of adults and 55% of children with Cushing’s disease when performed using SE T1 techniques on a 1.5 Tesla scanner, with a contrast agent.… Continue Reading
Medscape Releases New Continuing Medical Education Program on Cushing’s Disease
Drs. James Findling (Medical College of Wisconsin) and Maria Fleseriu (Oregon Health Sciences University), both whom are on the CSRF Medical Advisory Board, and Karen J. Pulaski-Liebert, RN, BSN (Massachusetts General Hospital) held a roundtable discussion on “A Multidisciplinary Approach: Challenges and Best Practices in Cushing’s Disease.” The CSRF received a mention towards the end… Continue Reading
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