Our Literature Review section continues with another installment of summaries from the medical literature. Our authors have found recent articles that have direct relevance to the practice of insurance medicine. The intent of the reading list is to provide the highlights of articles, not an in-depth analysis. Contributions to the reading list are invited. Please forward your citation and summary to Michael L. Moore, MD, Associate Editor, Literature Review at Moorem1@Nationwide.com. We will acknowledge all contributors in each issue's installment.

Adrenal incidentalomas are a byproduct of abdominal imaging studies done for other reasons. The traditional clinical logic has been that these asymptomatic lesions do not require intervention unless there is evidence of abnormal hormone secretion, be it glucocorticoids (Cushing's syndrome) or mineralocorticoids (Conn's syndrome). The thinking on this is slowly changing as it has been recognized that elevated cortisol levels are associated with increased risk of cardiovascular disease and mortality,...

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