Endocrinology Service

Specialized Endocrine Care

Some endocrine conditions are uncommon enough that even excellent primary-care physicians may see only a handful in a career. These cases need an endocrinologist — and often, a specific kind of testing that has to be done in a precise way to get the right answer.

Specialized Endocrine Care

Adrenal disorders

  • Cushing's syndromeWeight gain, facial fullness, easy bruising, hypertension — diagnosed with dexamethasone suppression and 24-hour urinary cortisol.
  • Addison's disease (primary adrenal insufficiency)Fatigue, hyperpigmentation, hypotension — diagnosed with ACTH stimulation testing.
  • Primary aldosteronism (Conn syndrome)A treatable cause of resistant hypertension that is widely underdiagnosed.
  • PheochromocytomaEpisodic hypertension, headaches, sweating — plasma metanephrines and CT/MRI workup.
  • Congenital adrenal hyperplasia (CAH)

Pituitary disorders

  • ProlactinomaTreated medically with cabergoline or bromocriptine.
  • AcromegalyGrowth hormone excess — IGF-1 and OGTT-based diagnosis.
  • Cushing's disease (pituitary)
  • Hypopituitarism
  • Pituitary incidentaloma

Parathyroid & calcium disorders

  • Primary hyperparathyroidismHigh calcium, kidney stones, bone loss — surgical referral when criteria met.
  • Secondary & tertiary hyperparathyroidism
  • Hypoparathyroidism
  • Hypercalcemia & hypocalcemia workup

Lipid & cardiometabolic disorders

  • Familial hypercholesterolemia
  • Severe hypertriglyceridemia
  • Lipoprotein(a) elevation
  • Metabolic syndrome