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- Title
Cardio‐metabolic pathophysiology in mild glucocorticoid excess: Potential implications for management of adrenal incidentaloma.
- Authors
Chen, Angela X.; Burt, Morton G.
- Abstract
Adrenal adenomas are incidentally identified in up to 5% of computer tomography scans performed for unrelated indications. A proportion of these adrenal incidentalomas are found to autonomously secrete cortisol based on definitions in current guidelines. Epidemiological studies suggest that chronic exposure to mild glucocorticoid excess from adrenal incidentalomas is associated with significantly increased cardiometabolic risk. However, current management guidelines adopt a conservative approach as no large prospective randomized studies have demonstrated that these patients benefit from surgery. This narrative review examines the epidemiological and mechanistic studies related to three common clinical settings of mild glucocorticoid excess to gain further insight into the potential benefits of treating patients with adrenal incidentaloma and possible autonomous cortisol secretion.
- Subjects
GLUCOCORTICOIDS; PATHOLOGICAL physiology; HYDROCORTISONE
- Publication
Clinical Endocrinology, 2023, Vol 98, Issue 2, p153
- ISSN
0300-0664
- Publication type
Article
- DOI
10.1111/cen.14850