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Cushing Syndrome Caused by ACTH-independent Macronodular Adrenal Hyperplasia / 대한내과학회지
Korean Journal of Medicine ; : 190-194, 2017.
Article de En | WPRIM | ID: wpr-193482
Bibliothèque responsable: WPRO
ABSTRACT
Adenocorticotropic hormone-independent macronodular adrenal hyperplasia (AIMAH) is a rare cause of Cushing's syndrome. It is characterized by multinodular enlargement of the adrenal glands and hypercortisolism. Although bilateral adrenalectomy is the standard therapy, unilateral adrenalectomy is an effective alternative. Here we present a case of a 71-year-old female referred to the Endocrinology Department for further evaluation of bilateral adrenal macronodular hyperplasia. Based on dynamic hormone tests and imaging studies, she was diagnosed with AIMAH. Due to persistent hypercortisolism, she underwent completion contralateral surgery after unilateral adrenalectomy. This case demonstrates that unilateral adrenalectomy should be considered in a patient presenting with obvious symptoms of hypercotisolism and relatively asymmetric adrenal enlargement.
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Texte intégral: 1 Indice: WPRIM Sujet Principal: Glandes surrénales / Surrénalectomie / Syndrome de Cushing / Endocrinologie / Hyperplasie Limites du sujet: Aged / Female / Humans langue: En Texte intégral: Korean Journal of Medicine Année: 2017 Type: Article
Texte intégral: 1 Indice: WPRIM Sujet Principal: Glandes surrénales / Surrénalectomie / Syndrome de Cushing / Endocrinologie / Hyperplasie Limites du sujet: Aged / Female / Humans langue: En Texte intégral: Korean Journal of Medicine Année: 2017 Type: Article