The Low-Dose Dexamethasone Suppression Test is a hormonal test used to assess how the body regulates cortisol production. It involves taking a small dose of dexamethasone, a synthetic steroid, followed by measurement of cortisol levels. The test is primarily needed to evaluate suspected Cushing syndrome; a condition associated with excessive cortisol production and helps determine whether cortisol production is appropriately suppressed.
It is primarily used to help evaluate suspected Cushing syndrome, a condition in which the body produces excessive cortisol.
Dexamethasone is a synthetic corticosteroid that acts similarly to cortisol. In healthy individuals, a low dose normally reduces the body's cortisol production.
Cortisol is a hormone produced by the adrenal glands that helps regulate metabolism, blood pressure, blood sugar, immune responses, and the body's response to stress.
Appropriate suppression generally suggests that cortisol production is responding normally to dexamethasone, making autonomous cortisol excess less likely.
Failure to suppress may indicate excessive or autonomous cortisol production and can support further evaluation for Cushing syndrome.