It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....

Addison's Disease Message Board

Need help understanding my ACTH stim test?

Post New Thread   Closed Thread
LinkBack Thread Tools Search this Thread
Old 06-03-2011, 04:47 PM   #1
Join Date: May 2011
Location: VA
Posts: 4
mrssippy HB User
Need help understanding my ACTH stim test?

Here are my results.
Baseline cortisol, 8.6
Baseline ACTH 12
60 minutes after cortrysyn(?) 30

The Doctor said I passed which would mean I am not Primary but he never even tried the low dose or anything to rule out secondary. Can u still be secondary even if u pass the high dose?

Also he told me my cortisol needed to be over 10 which its not.

Sponsors Lightbulb
Old 06-07-2011, 06:51 PM   #2
Junior Member
Join Date: Oct 2010
Location: Plains Pa
Posts: 21
confused34 HB User
Re: Need help understanding my ACTH stim test?

Hello Mrssippy,
According to this article, , its possible to pass the High Dose Stim Test and still have a HPA disfunction. You might want to bring this article to his Attention.

1) the baseline morning serum cortisol concentration has very limited predictive power in differentiating between normal and impaired HPA function; 2) the use of criteria based on incremental changes in serum cortisol from baseline leads to unacceptably high false positive and false negative rates; and 3) insulin hypoglycemia is still the best indicator of the integrity of the response of the HPA axis to stress.
This test is the golden standard. Once and done.

In contrast, in the conventional 250-μg ACTH stimulation test, plasma ACTH levels rise above 4500 pg/mL (23). Supraphysiological ACTH doses may cause falsely normal cortisol responses in mild forms of secondary adrenal insufficiency when the adrenal cortex is not yet atrophic (23, 25, 26, 27). The low dose (1 μg, iv) of ACTH may be adequate to provide physiological adrenocortical stimulation (10, 17, 24, 28, 29).

Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
17yr sons ACTH stim results and more Masta Addison's Disease 1 06-07-2011 07:07 PM
Normal ACTH stimulation test, low acth Spaky0784 Addison's Disease 0 12-08-2010 01:34 AM
My ACTH stim test results input pls... Masta Addison's Disease 0 09-09-2009 06:49 PM
Does a morning ACTH of 69 (7-50) and an AM Cortisol of 8.8 (4-22) look like Primary? TheAntiEndo Addison's Disease 31 05-02-2008 05:09 PM
ACTH stim test history - what does it mean?? TAEMom Addison's Disease 13 03-06-2008 09:48 PM
Need some help with my 15 year old daughter kimmyp6414 Addison's Disease 2 09-15-2005 10:18 PM
ACTH stim test side effects? sadie-mae Addison's Disease 7 02-27-2005 07:22 PM
ACTH Stim Test Question? thezoo17 Addison's Disease 0 01-31-2005 01:02 PM

Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off

Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 07:45 PM.

Site owned and operated by HealthBoards.comô
© 1998-2018 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!