An Unusual Case of Cushing’s Syndrome: Coexistence of Functional Pituitary and Adrenal Adenoma
Author(s) -
Muzaffer İlhan,
Özcan Karaman,
İrem Yasin Çetin,
Nur Büyükpınarbaşılı,
Jamshid Hamdard,
Ertuğrul Taşan
Publication year - 2017
Publication title -
medical bulletin of haseki
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.113
H-Index - 4
eISSN - 2147-2688
pISSN - 1302-0072
DOI - 10.4274/haseki.3073
Subject(s) - pituitary adenoma , adrenal adenoma , cushing syndrome , medicine , adenoma , endocrinology
A case of adrenocorticotropic hormone (ACTH)-independent Cushing’s syndrome, which develops in the course of ACTH-dependent Cushing’s disease, is presented in this report. A 47-year-old woman with a past history of surgery and gamma knife radiosurgery because of Cushing’s disease was admitted to the endocrinology clinic with weight gain and unregulated blood glucose levels. Hypercortisolemia was still persisting and diagnostic work-up indicated ACTH-independent Cushing’s syndrome. Along with the rare possibility of this coexistence, longstanding ACTH hypersecretion can play a role in functional transition of adrenal adenomas. Further studies are needed to clarify the underlying mechanisms
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