Is Cortisol Value Of 27.4 A Cause For Concern?

Posted on Wed, 21 Oct 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 20 Oct 2015 Answered on

Thu, 12 Nov 2015 Last reviewed on

Question : I just received blood tests back my cortisol came big high 27.4 I also have a adrenal mass. left side.
Everything else is normal My e-mail is YYYY@YYYY female 64 years old general good health
Sleeping issues, black and blue marks, loss of hair over the last two years, pain in both legs when standing
or sitting for periods of time. My get up and go, got up and went.

Answered by Dr. Binu Parameswaran Pillai (45 minutes later)

Brief Answer:
Some questions when dealing with a cortisol value

Detailed Answer:
Good day,
Noted your question. High cortisol could be due to cushing's syndrome, but also may be due to stress.

What is the unit of cortisol? mcg/dl or mmol ?? . And how was it collected- a morning fasting sample at 8 Am or a random sample? Was it collected after taking dexamethasone tablets on the previous night?

All these questions are relevant when we deal with a cortisol value especially in the setting of an adrenal mass. These are important questions to assess further.

Could you attach the reports ?
Please reply
Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar