High
Random Cortisol
Low
ACTH
Aetiology:
Primary
Mostly iatrogenic
Adrenal adenoma
Adrenal carcinoma
Primary bilateral
nodular
adrenal cortical disease
very rare, onset age: 4 yr, present with sub-clinical Cushing
reversable, treat the underlying condition
Look at
Cushing’s syndrome
↑
for more info
Treatment:
Affected side
Treatment
Unilateral -
Adrenal adenoma
,
Adrenal carcinoma
Surgical resection
Bilateral -
‣
No surgery, life-long medication