Evaluation of the use of the Late Night Salivary Cortisol (LNSC) test

From Lewis S Blevins, Jr. MD -  Researchers at Harvard Medical School have reported their results on the evaluation of the use of the...

How important is early diagnosis?

A recent article from the Endocrinology Department of “Escola Universitària d’Infermeria, Hospital Sant Pau, Universitat Autonoma de Barcelona, Barcelona, Spain” explores health related quality...

Auto-immune and inflammatory disorders in Cushing’s syndrome

From Lewis S Blevins Jr, MD  -  I've seen a few instances over my career of auto-immune and inflammatory disorders flaring or becoming more...

How do somatostatin analogs work?

From Lewis S. Blevins, Jr. MD  -  Somatostatin analogs are a class of drugs that are chemically modified forms of native somatostatin.   They are...

Postoperative Evaluation of Patients with Cushing’s Disease.

From Lewis S. Blevins Jr, MD  -  One of the greatest challenges facing medical practitioners is in the recognition and diagnosis of Cushing's syndrome...

Management of Cushing’s Disease: Transsphenoidal Surgery.

From Lewis S. Blevins Jr, MD  -  Transphenoidal pituitary surgery is the treatment of choice In the setting of Cushing's disease due to a...

Cushing’s Syndrome: Twenty-Four Hour Urine Collection

From Lewis S Blevins Jr., MD  -  Twenty-four hour urine collections are often employed to estimate the production rates of various hormones. The accuracy...

Pituitary Surgery. Postoperative Followup.

From Lewis S Blevins, Jr. MD - All too often, I see patients who come to the clinic with devastating recurrences of their pituitary tumors....

Tests of Pituitary Function: Cushing’s syndrome

  From Lewis Blevins, MD  -  Photo of Dr. Lewis Blevins  -  Cortisol is a stress hormone. Thus, physical or psychic stress can elevate cortisol...

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