The Curbsiders Internal Medicine Podcast30 Maalis

#519 Mild Autonomous Cortisol Secretion

Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina Bancos (@irinabancos), an internationally renowned adrenal expert!

Intro
Advice for listeners
Adrenal incidentaloma Definition (Case 1)
Hormonal workup for adrenal incidentalomas
Defining mild autonomous cortisol secretion (MACS)
Significance and prevalence of MACS
Diagnostic testing for MACS
Treatment options for MACS (surgery vs. comorbidity management)
Post surgical management of MACS (Case 2)
Diagnostic testing for adrenal insufficiency (AI)
Glucocorticoid withdrawal syndrome management
Deciding when patients are able to come off of steroids after AI
Outcomes after adrenalectomy in MACS
Take home points

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

Producer, writer, show notes, and CME: Mobeen Ahmad MD
Cover art and infographic: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Mobeen Ahmad MD
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Irina Bancos MD, MSc

Disclosures

Dr. Bancos has the following disclosures:

Consulting, advisory board or safety monitoring board (all fees to institution): Recordati, Corcept, Esteve, Spruce, Sparrow, Diurnal, Neurocrine, Lufordi, Adaptyx, Crinetics, Xeris, AstraZeneca, NovoNordisc, Camurus.
Research grant for investigator initiated research (to institution): Esteve, Recordati

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