Excluding Cushing’s syndrome: saliva, urine or serum cortisol?
Cushing’s syndrome may be suspected in patients with classical features (fat redistribution, proximal myopathy, easy bruising, facial plethora, red/purple striae), hypertension (particularly where a secondary cause is under consideration) or accelerated osteoporosis or diabetes mellitus. After iatrogenic Cushing’s syndrome due to exogenous glucocorticoid use is excluded, biochemical testing is performed. Read More...