Endocrine Disorders: Evaluation and Management

  • Author: Todd T. Brown, MD (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 11/14/16 (What's New)

Summary

  • Adrenal insufficiency is confirmed with use of a corticotropin stimulation test
  • The optimal dose of corticotropin in HIV-infected patients with suspected adrenal insufficiency is not established
  • Patients with discordant or equivocal results should receive an insulin tolerance test at an experienced center; this test is contraindicated in older patients and in those with coronary artery disease, cerebrovascular disease, or seizure disorder

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