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Simultaneous pituitary and adrenal adenomas in a patient with non ACTH dependent Cushing syndrome; a case report with literature review

INTRODUCTION: Cushing syndrome is a rare disorder with a variety of underlying etiologies, that can be exogenous or endogenous (adrenocorticotropic hormone (ACTH)-dependent or ACTH-independent). The current study aims to report a case of ACTH-independent Cushing syndrome with adrenal adenoma and non...

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Autores principales: Ahmed, Shaho F., Bapir, Rawa, Fattah, Fattah H., Mahmood, Aras Gh., Salih, Rawezh Q., Salih, Abdulwahid M., Tahir, Soran H., Kakamad, Fahmi H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9018131/
https://www.ncbi.nlm.nih.gov/pubmed/35413671
http://dx.doi.org/10.1016/j.ijscr.2022.107038
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author Ahmed, Shaho F.
Bapir, Rawa
Fattah, Fattah H.
Mahmood, Aras Gh.
Salih, Rawezh Q.
Salih, Abdulwahid M.
Tahir, Soran H.
Kakamad, Fahmi H.
author_facet Ahmed, Shaho F.
Bapir, Rawa
Fattah, Fattah H.
Mahmood, Aras Gh.
Salih, Rawezh Q.
Salih, Abdulwahid M.
Tahir, Soran H.
Kakamad, Fahmi H.
author_sort Ahmed, Shaho F.
collection PubMed
description INTRODUCTION: Cushing syndrome is a rare disorder with a variety of underlying etiologies, that can be exogenous or endogenous (adrenocorticotropic hormone (ACTH)-dependent or ACTH-independent). The current study aims to report a case of ACTH-independent Cushing syndrome with adrenal adenoma and nonfunctioning pituitary adenoma. CASE REPORT: A 37–year–old female presented with amenorrhea for the last year, associated with weight gain. She had a moon face, buffalo hump, and central obesity. A 24-hour urine collection for cortisol was performed, revealed elevated cortisol. Cortisol level was non-suppressed after administering dexamethasone. MRI of the pituitary region revealed a pituitary microadenoma, and the CT scan of the abdomen with adrenal protocol revealed a left adrenal adenoma. DISCUSSION: Early diagnosis may be postponed due to the variety of clinical presentations and the referral of the patient to different subspecialists based on their dominant symptoms (gynecological, dermatological, cardiovascular, psychiatric); it is, therefore, critical to consider the entire clinical presentation for correct diagnosis. CONCLUSION: Due to the diversity in the presentation of CS, an accurate clinical, physical and endocrine examination is always recommended.
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spelling pubmed-90181312022-04-20 Simultaneous pituitary and adrenal adenomas in a patient with non ACTH dependent Cushing syndrome; a case report with literature review Ahmed, Shaho F. Bapir, Rawa Fattah, Fattah H. Mahmood, Aras Gh. Salih, Rawezh Q. Salih, Abdulwahid M. Tahir, Soran H. Kakamad, Fahmi H. Int J Surg Case Rep Case Report INTRODUCTION: Cushing syndrome is a rare disorder with a variety of underlying etiologies, that can be exogenous or endogenous (adrenocorticotropic hormone (ACTH)-dependent or ACTH-independent). The current study aims to report a case of ACTH-independent Cushing syndrome with adrenal adenoma and nonfunctioning pituitary adenoma. CASE REPORT: A 37–year–old female presented with amenorrhea for the last year, associated with weight gain. She had a moon face, buffalo hump, and central obesity. A 24-hour urine collection for cortisol was performed, revealed elevated cortisol. Cortisol level was non-suppressed after administering dexamethasone. MRI of the pituitary region revealed a pituitary microadenoma, and the CT scan of the abdomen with adrenal protocol revealed a left adrenal adenoma. DISCUSSION: Early diagnosis may be postponed due to the variety of clinical presentations and the referral of the patient to different subspecialists based on their dominant symptoms (gynecological, dermatological, cardiovascular, psychiatric); it is, therefore, critical to consider the entire clinical presentation for correct diagnosis. CONCLUSION: Due to the diversity in the presentation of CS, an accurate clinical, physical and endocrine examination is always recommended. Elsevier 2022-04-05 /pmc/articles/PMC9018131/ /pubmed/35413671 http://dx.doi.org/10.1016/j.ijscr.2022.107038 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ahmed, Shaho F.
Bapir, Rawa
Fattah, Fattah H.
Mahmood, Aras Gh.
Salih, Rawezh Q.
Salih, Abdulwahid M.
Tahir, Soran H.
Kakamad, Fahmi H.
Simultaneous pituitary and adrenal adenomas in a patient with non ACTH dependent Cushing syndrome; a case report with literature review
title Simultaneous pituitary and adrenal adenomas in a patient with non ACTH dependent Cushing syndrome; a case report with literature review
title_full Simultaneous pituitary and adrenal adenomas in a patient with non ACTH dependent Cushing syndrome; a case report with literature review
title_fullStr Simultaneous pituitary and adrenal adenomas in a patient with non ACTH dependent Cushing syndrome; a case report with literature review
title_full_unstemmed Simultaneous pituitary and adrenal adenomas in a patient with non ACTH dependent Cushing syndrome; a case report with literature review
title_short Simultaneous pituitary and adrenal adenomas in a patient with non ACTH dependent Cushing syndrome; a case report with literature review
title_sort simultaneous pituitary and adrenal adenomas in a patient with non acth dependent cushing syndrome; a case report with literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9018131/
https://www.ncbi.nlm.nih.gov/pubmed/35413671
http://dx.doi.org/10.1016/j.ijscr.2022.107038
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