Open AccessLean Cushing's
Author(s) -
Yashendu Sarda,
Damodara Shenoy,
Shrinath Shetty,
Sonali Ullal,
Sanyam Katyal
Publication year - 2020
Publication title -
journal of family medicine and primary care
Language(s) - Uncategorized
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_230_20
Subject(s) - medicine , cushingoid , subclinical infection , cushing syndrome , adrenocorticotropic hormone , hyperplasia , blood pressure , lesion , diabetes mellitus , abdomen , type 2 diabetes mellitus , radiology , hormone , endocrinology , surgery
This is a case report of 59 years old male with adrenocorticotropic hormone ACTH-independent macronodular adrenal hyperplasia (AIMAH), which is a rare cause of Cushing's syndrome. He was detected to have adrenal lesions incidentally on imaging. The biochemical evaluation was suggestive of endogenous ACTH-independent Cushing's syndrome. Contrast Enhanced CT of the abdomen done to characterize the lesion was suggestive of bilateral macro-nodular adrenal hyperplasia. There was no evidence of cushingoid features except for type 2 diabetes mellitus suggestive of subclinical Cushing's. He was not planned for any immediate medical/surgical management since metabolic control was achieved with oral anti-diabetics (OADs) and anti-hypertensive medications. He is on regular follow up with well-controlled sugars and blood pressure.