US Disability and Endocrine Disorders

The U.S. Social Security Administration has just published a set of rules for evaluating endocrine disorders for the purposes of declaring a patient "disabled" and therefore eligible for federal disability payments. It is an elaboration on rules put forth in 2011 that removed endocrine disorders from the list of automatically disabling conditions. The SSA says that advances in treatment have made it possible to continue working while battling endocrine disorders. It therefore declared that adults with a diagnosed endocrine disorder are not automatically eligible to be listed as disabled. Rather, the effects must be determined to be "severe" and they must adversely affect other body systems. The ruling will be published in the Federal Register. You can read the document here.

Pituitary tumor size not definitive for Cushing's

Published: July 11, 2013

By Sherry Boschert, Family Practice News Digital Network


SAN FRANCISCO – The size of a pituitary tumor on magnetic resonance imaging in a patient with ACTH-dependent Cushing's syndrome can't differentiate between etiologies, but combining that information with biochemical test results could help avoid costly and difficult inferior petrosal sinus sampling in some patients, a study of 131 cases suggests.

If MRI shows a pituitary tumor larger than 6 mm in size, the finding is 40% sensitive and 96% specific for a diagnosis of Cushing's disease as the cause of adrenocorticotropic hormone (ACTH)-dependent Cushing's syndrome, and additional information from biochemical testing may help further differentiate this from ectopic ACTH secretion, Dr. Divya Yogi-Morren and her associates reported at the Endocrine Society's Annual Meeting.

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No High-Quality Studies for Cushing's Drugs

By Salynn Boyles, Contributing Writer, MedPage Today
Reviewed by Zalman S. Agus, MD; Emeritus Professor, Perelman School of Medicine at the University of Pennsylvania and Dorothy Caputo, MA, BSN, RN, Nurse Planner

There is a paucity of clinical trial data supporting the efficacy of most drugs used to treat Cushing's disease, researchers reported.

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