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Cushing’s Disease in a 7-Month-Old Girl due to a Tumor Producing Adrenocorticotropic Hormone and Thyreotropin-Secreting Hormone
Author(s) -
Julian List,
Stephan B. Sobottka,
Angela Huebner,
C. Bonk,
J. Koy,
T. Pinzer,
Gabriele Schackert
Publication year - 1999
Publication title -
pediatric neurosurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.385
H-Index - 72
eISSN - 1423-0305
pISSN - 1016-2291
DOI - 10.1159/000028824
Subject(s) - adrenocorticotropic hormone , medicine , pituitary adenoma , adenoma , cushing's disease , lesion , pituitary tumors , hormone , endocrinology , cushing disease , anterior pituitary , cushing syndrome , pathology , disease
We present the case of a 7-month-old baby with Cushing's disease due to an adrenocorticotropic hormone (ACTH)-secreting pituitary adenoma combined with cells producing thyreotropin-secreting hormone (TSH). In MRI scans, a contrast-enhancing lesion was seen inside the pituitary fossa, and it extended into the suprasellar region. On the assumption of a pituitary adenoma, surgery was performed. Corresponding with biochemical findings, histopathological evaluation revealed an ACTH- and TSH-producing tumor. Genetic analysis did not demonstrate an alteration at codon 201 (Arg) and 227 (Glu). To our knowledge, this is the first case described in a child of this age.

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