Adrenalectomy reduces the risk of vertebral fractures in patients with monolateral adrenal incidentalomas and subclinical hypercortisolism

Antonio Stefano Salcuni, Valentina Morelli, Cristina Eller-Vainicher, Serena Palmieri, Elisa Cairoli, Anna Maria Spada, Alfredo Scillitani, Iacopo Chiodini

Research output: Contribution to journalArticle

Abstract

Objective: Subclinical hypercortisolism (SH) is associated with increased risk of vertebral fractures (VFx). The effect on bone following recovery from SH is unknown. Design: Of the 605 subjects consecutively referred for monolateral adrenal incidentalomas (AIs) to our outpatient clinics, 55 SH patients (recruited on the basis of the exclusion criteria) were enrolled. We suggested to all patients to undergo adrenalectomy, which was accepted by 32 patients (surgical group, age 61.3±8.1 years) and refused by 23 patients, who were followed with a conservative management (non-surgical group, age 65.4±7.1 years). Methods:We diagnosed SH in patients with serum cortisol after 1 mg dexamethasone suppression test (1 mg-DST)O5.0 mg/dl or with greater than or equal to two criteria among 1 mg-DST >3.0 μg/dl, urinary free cortisol >70 μg/24 h and ACTH

Original languageEnglish
Pages (from-to)261-269
Number of pages9
JournalEuropean Journal of Endocrinology
Volume174
Issue number3
DOIs
Publication statusPublished - Mar 1 2016

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

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