Bilateral inferior petrosal sinus sampling in the differential diagnosis of ACTH-dependent Cushing's syndrome: A reappraisal.

التفاصيل البيبلوغرافية
العنوان:	Bilateral inferior petrosal sinus sampling in the differential diagnosis of ACTH-dependent Cushing's syndrome: A reappraisal.
المؤلفون:	Valizadeh M; Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Abiri B; Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Hosseinpanah F; Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Grossman A; Centre for Endocrinology, Barts and the London School of Medicine, QMUL, London, UK.; ENETS Centre of Excellence, Royal Free Hospital, London, UK.; Green Templeton College, University of Oxford, Oxford, UK.
المصدر:	Journal of internal medicine [J Intern Med] 2024 Jul; Vol. 296 (1), pp. 2-23. Date of Electronic Publication: 2024 Apr 12.
نوع المنشور:	Journal Article; Review
اللغة:	English
بيانات الدورية:	Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 8904841 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2796 (Electronic) Linking ISSN: 09546820 NLM ISO Abbreviation: J Intern Med Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Oxford : Blackwell Scientific Publications, c1989-
مواضيع طبية MeSH:	Petrosal Sinus Sampling* , Cushing Syndrome/diagnosis , ACTH Syndrome, Ectopic/diagnosis , Adrenocorticotropic Hormone*/blood, Humans ; Diagnosis, Differential ; Pituitary ACTH Hypersecretion/diagnosis
مستخلص:	Cushing's syndrome (CS) is a rare disorder, once exogenous causes have been excluded. However, when diagnosed, the majority of cases are adrenocorticotropic hormone (ACTH)-dependent, of which a substantial minority are due to a source outside of the pituitary, ectopic ACTH syndrome (EAS). Differentiating among pituitary-dependent CS, Cushing's disease (CD) and an ectopic source can be problematic. Because non-invasive tests in the evaluation of CS patients often lack adequate sensitivity and specificity, bilateral inferior petrosal sinus sampling (BIPSS), a minimally invasive procedure performed during the investigation of ACTH-dependent CS, can be extremely helpful. BIPSS is considered to be the gold standard for differentiating CD from the EAS. Furthermore, although such differentiation may indeed be challenging, BIPSS is itself a complex investigation, especially in recent times due to the widespread withdrawal of corticotrophin-releasing hormone and its replacement by desmopressin. We review current published data on this investigation and, in the light of this and our own experience, discuss its appropriate use in diagnostic algorithms. (© 2024 The Association for the Publication of the Journal of Internal Medicine.)
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فهرسة مساهمة:	Keywords: CRH; Cushing's disease; desmopressin; ectopic ACTH; petrosal sampling
المشرفين على المادة:	9002-60-2 (Adrenocorticotropic Hormone)
تواريخ الأحداث:	Date Created: 20240412 Date Completed: 20240611 Latest Revision: 20240611
رمز التحديث:	20240612
DOI:	10.1111/joim.13789
PMID:	38606956
قاعدة البيانات:	MEDLINE

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تدمد:	1365-2796
DOI:	10.1111/joim.13789