Adrenal Disorders

Evaluation and treatment of adrenal conditions including Cushing's syndrome, Addison's disease, adrenal tumours, and congenital adrenal hyperplasia.

The adrenal glands produce cortisol, aldosterone, adrenaline, and androgens — hormones that regulate blood pressure, stress response, electrolyte balance, and energy. When they malfunction, the effects reach every system in the body. Adrenal disorders are rare, frequently missed, and require specialist expertise to diagnose and manage correctly.

RareBut Serious Conditions
Conn’sLeading Reversible HTN Cause
CrisisPrevention is Lifesaving
CAHDedicated Clinic Available
Conditions We Specialise In

Adrenal Disorders We Diagnose & Treat

Cushing’s Syndrome
Addison’s Disease
Primary Hyperaldosteronism
Adrenal Incidentalomas
Pheochromocytoma
Congenital Adrenal Hyperplasia
Warning Signs

Symptoms That Require Adrenal Evaluation

  • Severe, unexplained fatigue with muscle weakness
  • High blood pressure that does not respond to two or more medications
  • Episodic severe headaches, palpitations, and sweating attacks
  • Rapid weight gain around the abdomen, face (“moon face”), or upper back (“buffalo hump”)
  • Easy bruising, thin skin, or wide purple stretch marks
  • Darkening of the skin — especially in skin folds, scars, and knuckles
  • Low sodium or potassium found on routine blood tests
What We Offer

Specialist Adrenal Investigation & Management

Overnight DST & Salivary CortisolDexamethasone suppression and late-night salivary cortisol for Cushing’s syndrome screening
Plasma Renin & Aldosterone RatioSystematic screening for Conn’s syndrome in treatment-resistant hypertension
Plasma & Urinary MetanephrinesSensitive and specific biochemical testing to rule out pheochromocytoma
Adrenal Imaging InterpretationCT and MRI adrenal mass characterisation — coordinating with radiology for accurate reporting
Synacthen Stimulation TestAdrenal reserve assessment for suspected Addison’s disease and adrenal insufficiency
Dedicated CAH ClinicSpecialist management of Congenital Adrenal Hyperplasia — see our CAH Clinic service for details
Adrenal Crisis is a Medical EmergencyPatients with Addison’s disease or adrenal insufficiency must carry a Steroid Emergency Card and injectable hydrocortisone. Sudden collapse, vomiting, or severe weakness requires emergency care — do not wait.