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GIORGIO ARNALDI

The diagnostic accuracy of increased late night salivary cortisol for Cushing's syndrome: a real-life prospective study

  • Autori: Ceccato, F; Marcelli, G; Martino, M; Concettoni, C; Brugia, M; Trementino, L; Michetti, G; Arnaldi, G
  • Anno di pubblicazione: 2019
  • Tipologia: Articolo in rivista
  • OA Link: http://hdl.handle.net/10447/650913

Abstract

A prompt diagnosis of Cushing's Syndrome (CS) in high-risk populations is mandatory: 1-mg dexamethasone suppression test (1-mg DST), late night salivary cortisol (LNSC), and urinary-free cortisol (UFC) are recommended, despite thresholds calculated in retrospective studies. Our aim was to study the diagnostic accuracy of LNSC measured with chemiluminescence assay in a prospective study, confirming discrepancies with mass spectrometry (MS).