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Dexamethasone + desmopressin is a combination of two pharmaceutical agents used together primarily as a diagnostic/provocative test in endocrinology, particularly for the evaluation and monitoring of Cushing’s disease. Dexamethasone is a synthetic glucocorticoid corticosteroid that suppresses normal pituitary corticotroph cells, while desmopressin is a synthetic vasopressin analog that stimulates ACTH release from autonomous (tumor) corticotroph cells. The combined administration (often called the Combined Dexamethasone Desmopressin Test or CDDT) increases specificity for detecting residual or recurrent pituitary adenoma activity by suppressing normal cells and selectively stimulating tumor cells. This approach helps to identify patients at risk of recurrence after surgery for Cushing’s disease, often before classical biochemical markers become abnormal[1][2][3][4].
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