Amir H. Hamrahian
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View article: SUN-463 Efficacy and Safety of Relacorilant in Individuals With Adrenal Hypercortisolism: Results From the Phase 3 GRACE and GRADIENT Studies
SUN-463 Efficacy and Safety of Relacorilant in Individuals With Adrenal Hypercortisolism: Results From the Phase 3 GRACE and GRADIENT Studies Open
Disclosure: U. Dischinger: Recordati, Novo Nordisk, Alnylam, Merck. A. Al-Karadsheh: None. C. Badiu: Corcept Therapeutics, Lundbeck, Novo Nordisk, Ipsen, Merck, Pfizer, Inc. F. Ceccato: Novartis Pharmaceuticals, HRA Pharmaceuticals, Novo N…
View article: OR16-08 Baxdrostat in Patients with Primary Aldosteronism: Results from the SPARK Phase 2 Trial
OR16-08 Baxdrostat in Patients with Primary Aldosteronism: Results from the SPARK Phase 2 Trial Open
Disclosure: I. Bancos: AstraZeneca. A. Ben-Shlomo: AstraZeneca. O. Hamidi: Recordati Rare Diseases, Neurocrine Biosciences, Corcept Therapeutics, Crinetics, Camurus, Xeris. A. Hamrahian: AstraZeneca. W. Huang: None. L.S. Kirschner: Corcept…
View article: SUN-294 Urinary Bladder Paraganglioma With POT1 and RECQL4 Mutations Almost Missed by Ga-68 DOTATATE PET/CT
SUN-294 Urinary Bladder Paraganglioma With POT1 and RECQL4 Mutations Almost Missed by Ga-68 DOTATATE PET/CT Open
Disclosure: V. Vadini: None. A. Matoso: None. N. Singla: None. R.R. Banerjee: None. A.H. Hamrahian: None. S.M. Chen Cardenas: None. Background: Urinary bladder paragangliomas (UBPGL) are exceedingly rare, constituting <1% of all paragan…
View article: MON-511 Large Bilateral Primary Adrenal Lymphoma: Anatomic and Functional Recovery of Primary Adrenal Insufficiency after R-CHOP
MON-511 Large Bilateral Primary Adrenal Lymphoma: Anatomic and Functional Recovery of Primary Adrenal Insufficiency after R-CHOP Open
Disclosure: V. Master: None. E.K. Fishman: None. H. Li: None. A.H. Hamrahian: None. S.M. Chen Cardenas: None. Background: Primary adrenal lymphomas are exceedingly rare, with only a few hundred cases reported in the literature. Of those, a…
View article: IPSS does not impact management in Cushing's Disease when a pituitary tumor is visible on MRI
IPSS does not impact management in Cushing's Disease when a pituitary tumor is visible on MRI Open
Purpose: There is controversy surrounding the value of inferior petrosal sinus sampling (IPSS) in Cushing's Disease (CD) when there is a visible pituitary lesion on pre-operative imaging. This study compares lateralization results between …
View article: 7428 Clinical and Radiological Characterization and Outcomes of Lipid-Poor Adrenal Masses- A Multi-Center Retrospective Study
7428 Clinical and Radiological Characterization and Outcomes of Lipid-Poor Adrenal Masses- A Multi-Center Retrospective Study Open
Disclosure: V. Balderrama-Brondani: None. R. Al-ward: None. K. Kiseljak-Vassiliades: None. L.M. Fishbein: None. D.A. Kirelik: None. O. Hamidi: None. R. Pishdad: None. H.K. Ghayee: None. M. Sukkari: None. S.S. Bedrose: None. A.H. Hamrahian:…
View article: 6903 The Treatment May Be Worse Than The Disease: The Real-World Clinical Burden Of Disease And Treatment In Congenital Adrenal Hyperplasia
6903 The Treatment May Be Worse Than The Disease: The Real-World Clinical Burden Of Disease And Treatment In Congenital Adrenal Hyperplasia Open
Disclosure: W. Huang: Consulting Fee; Self; Spruce Biosciences. Research Investigator; Self; Spruce Biosciences. R. Charlton: Employee; Self; Spruce Biosciences. S. Sile: Employee; Self; Spruce Biosciences. C. Dieyi: Employee; Self; STATin…
View article: 7465 Impact Of Geography And Insurance On Healthcare Utilization Preferences Of Individuals With Congenital Adrenal Hyperplasia In The United States
7465 Impact Of Geography And Insurance On Healthcare Utilization Preferences Of Individuals With Congenital Adrenal Hyperplasia In The United States Open
Disclosure: P.N. Surampudi: Research Investigator; Self; Spruce Biosciences. A.H. Hamrahian: Consulting Fee; Self; Spruce Biosciences. Research Investigator; Self; Spruce Biosciences. R. Charlton: Employee; Self; Spruce Biosciences. P. Ram…
View article: 9294 Clinical and Radiological Characterization And Outcomes of Lipid-Poor Adrenal Masses- A Multi-Center Retrospective Study
9294 Clinical and Radiological Characterization And Outcomes of Lipid-Poor Adrenal Masses- A Multi-Center Retrospective Study Open
Disclosure: V. Balderrama-Brondani: None. R. Al-ward: None. K. Kiseljak-Vassiliades: None. L.M. Fishbein: None. D.A. Kirelik: None. O. Hamidi: None. R. Pishdad: None. H.K. Ghayee: None. M. Sukkari: None. S.S. Bedrose: None. A.H. Hamrahian:…
View article: Fully-automated CT derived body composition analysis reveals sarcopenia in functioning adrenocortical carcinomas
Fully-automated CT derived body composition analysis reveals sarcopenia in functioning adrenocortical carcinomas Open
Determination of body composition (the relative distribution of fat, muscle, and bone) has been used effectively to assess the risk of progression and overall clinical outcomes in different malignancies. Sarcopenia (loss of muscle mass) is…
View article: Response to Letter to the Editor From S. I. Taylor et al: “Type B Insulin Resistance Syndrome: A Rare Cause of Hypoglycemia”
Response to Letter to the Editor From S. I. Taylor et al: “Type B Insulin Resistance Syndrome: A Rare Cause of Hypoglycemia” Open
View article: THU392 Type B Insulin Resistance: A Rare Cause Of Hypoglycemia
THU392 Type B Insulin Resistance: A Rare Cause Of Hypoglycemia Open
Disclosure: S.Z. Bhat: None. A. Sidhaye: None. A.H. Hamrahian: None. Introduction: Non-diabetic hypoglycemia in patients with diabetes mellitus is rare. Type B insulin resistance syndrome (TBIRS), caused by insulin receptor antibodies, pre…
View article: Acute heart failure with incidentally found cystic adrenal mass
Acute heart failure with incidentally found cystic adrenal mass Open
Summary Pheochromocytomas are rare adrenal tumors characterized by excessive catecholamine secretion. Symptoms and signs associated with pheochromocytomas are usually intermittent and chronic but can rarely develop into life-threatening cr…
View article: Type B Insulin Resistance Syndrome: A Rare Cause of Hypoglycemia
Type B Insulin Resistance Syndrome: A Rare Cause of Hypoglycemia Open
We describe a case of a Black female patient with a history of type 2 diabetes mellitus and systemic lupus erythematosus, who had a subacute onset of severe hypoglycemia that persisted after cessation of insulin therapy. Biochemical testin…
View article: Development of an Empty Sella
Development of an Empty Sella Open
View article: The Addition of Corticotropin-Releasing Hormone to 2-day Low Dose Dexamethasone Suppression Test Provides Additional Case Detection
The Addition of Corticotropin-Releasing Hormone to 2-day Low Dose Dexamethasone Suppression Test Provides Additional Case Detection Open
PURPOSE: To assess the diagnostic value of adding a Corticotropin-Releasing Hormone (CRH) Stimulation Test to the 2-day Low Dose Dexamethasone Suppression Test (Dex-CRH Test). METHODS: We identified 65 patients with Cushing disease (CD) an…
View article: Perioperative Evaluation and Management of Patients on Glucocorticoids
Perioperative Evaluation and Management of Patients on Glucocorticoids Open
Myriad questions regarding perioperative management of patients on glucocorticoids (GCs) continue to be debated including which patients are at risk for adrenal insufficiency (AI), what is the correct dose and duration of supplemental GCs,…
View article: ODP036 Cortisol Values During the Standard-Dose Cosyntropin Stimulation Test: Personal Experience with Elecsys Cortisol II Assay
ODP036 Cortisol Values During the Standard-Dose Cosyntropin Stimulation Test: Personal Experience with Elecsys Cortisol II Assay Open
Background There has been debate regarding the appropriate cortisol cutoffs during the cosyntropin stimulation test (CST) when the newer cortisol assays are used. Recent studies have recommended cortisol cutoffs lower than previously recom…
View article: PMON152 In Patients with Cushing's Disease and a Visible Tumor on MRI, IPSS does not Add to the Accuracy of Predicting Tumor Lateralization
PMON152 In Patients with Cushing's Disease and a Visible Tumor on MRI, IPSS does not Add to the Accuracy of Predicting Tumor Lateralization Open
Introduction There is controversy surrounding the value of bilateral inferior petrosal sinus sampling (BIPSS) for tumor lateralization in Cushing's disease (CD). We compare lateralization results between BIPSS and pituitary imaging against…
View article: Histopathologic Differences Between Adrenocorticotropic Hormone–Dependent and Adrenocorticotropic Hormone–Independent Adrenal Hyperplasia Causing Cushing Syndrome
Histopathologic Differences Between Adrenocorticotropic Hormone–Dependent and Adrenocorticotropic Hormone–Independent Adrenal Hyperplasia Causing Cushing Syndrome Open
A 64-year-old man with cushingoid features was found to have bilateral nodular adrenal masses (left > right). Laboratory studies showed elevated 24-hour urinary free cortisol level at 64 μg (reference range, 0-50 μg), abnormal levels for t…
View article: Cortisol values during the standard-dose cosyntropin stimulation test: Personal experience with Elecsys cortisol II assay
Cortisol values during the standard-dose cosyntropin stimulation test: Personal experience with Elecsys cortisol II assay Open
Purpose There has been debate regarding the appropriate cortisol cutoff during the cosyntropin stimulation test (CST) when newer cortisol assays are used. We aimed to evaluate the proper cortisol values during the standard dose CST in pati…
View article: Pasireotide use for the treatment of endogenous hyperinsulinemic hypoglycemia refractory to conventional medical therapy: A case report and review of the literature
Pasireotide use for the treatment of endogenous hyperinsulinemic hypoglycemia refractory to conventional medical therapy: A case report and review of the literature Open
Insulinomas are rare neuroendocrine pancreatic tumors that can be associated with severe episodes of hypoglycemia, leading to significant morbidity and mortality. These tumors are often difficult to localize, and hypoglycemia control can b…
View article: Response to Letter to the Editor From Lukas Andereggen: “Pitfalls in Performing and Interpreting Inferior Petrosal Sinus Sampling: Personal Experience and Literature Review”
Response to Letter to the Editor From Lukas Andereggen: “Pitfalls in Performing and Interpreting Inferior Petrosal Sinus Sampling: Personal Experience and Literature Review” Open
View article: The Dexamethasone-CRH Stimulation Test: A Single-Center Experience
The Dexamethasone-CRH Stimulation Test: A Single-Center Experience Open
Background: The diagnostic value of adding a Corticotropin Releasing Hormone (CRH) Stimulation Test to the 2-day Low Dose Dexamethasone Suppression Test (Dex-CRH Test) has been debated in the literature. We hypothesized that adding CRH to …
View article: Dural Tail Sign in Meningiomas
Dural Tail Sign in Meningiomas Open
A 36-year-old woman with a history of migraine was referred to our clinic for evaluation of the hypothalamic-pituitary axis. She complained of dizziness and decreased visual acuity 4 months prior to the presentation. Brain magnetic resonan…
View article: Pitfalls in Performing and Interpreting Inferior Petrosal Sinus Sampling: Personal Experience and Literature Review
Pitfalls in Performing and Interpreting Inferior Petrosal Sinus Sampling: Personal Experience and Literature Review Open
Context Inferior petrosal sinus sampling (IPSS) helps differentiate the source of ACTH-dependent hypercortisolism in patients with inconclusive biochemical testing and imaging, and is considered the gold standard for distinguishing Cushing…
View article: Preoperative BMI Predicts Postoperative Weight Gain in Adult-onset Craniopharyngioma
Preoperative BMI Predicts Postoperative Weight Gain in Adult-onset Craniopharyngioma Open
Context Craniopharyngiomas, while benign, have the highest morbidity of all nonmalignant sellar tumors. Studies on weight and metabolic outcomes in adult-onset craniopharyngioma (AOCP) remain sparse. Objective To examine postsurgical weigh…
View article: American Association of Clinical Endocrinology Disease State Clinical Review on the Evaluation and Management of Adrenocortical Carcinoma in an Adult: a Practical Approach
American Association of Clinical Endocrinology Disease State Clinical Review on the Evaluation and Management of Adrenocortical Carcinoma in an Adult: a Practical Approach Open
View article: Acromegaly: a clinical perspective
Acromegaly: a clinical perspective Open
Background To examine the clinical and hormonal profiles, comorbidities, treatment patterns, surgical pathology and clinical outcomes of patients diagnosed with acromegaly at the Cleveland Clinic over a 15-year period. Methods A retrospect…
View article: Unusual Combination of MEN-1 and the Contiguous Gene Deletion Syndrome of CAH and Ehlers-Danlos Syndrome (CAH-X)
Unusual Combination of MEN-1 and the Contiguous Gene Deletion Syndrome of CAH and Ehlers-Danlos Syndrome (CAH-X) Open
The contiguous gene deletion syndrome of congenital adrenal hyperplasia and Ehlers-Danlos syndrome, named CAH-X, is a rare entity that occurs because of a deletion of a chromosomal area containing 2 neighboring genes, TNXB and CYP21A. Here…