An Unusual Case of Cushing’s Syndrome: Coexistence of Functional Pituitary and Adrenal Adenoma

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...

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Main Authors: Muzaffer İlhan, Özcan Karaman, İrem Yasin Çetin, Nur Büyükpınarbaşılı, Jamshid Hamdard, Ertuğrul Taşan
Format: Article
Language:English
Published: Galenos Yayinevi 2017-03-01
Series:Haseki Tıp Bülteni
Subjects:
Online Access:http://www.hasekidergisi.com/article_14826/An-Unusual-Case-Of-Cushings-Syndrome-Coexistence-Of-Functional-Pituitary-And-Adrenal-Adenoma
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author Muzaffer İlhan
Özcan Karaman
İrem Yasin Çetin
Nur Büyükpınarbaşılı
Jamshid Hamdard
Ertuğrul Taşan
author_facet Muzaffer İlhan
Özcan Karaman
İrem Yasin Çetin
Nur Büyükpınarbaşılı
Jamshid Hamdard
Ertuğrul Taşan
author_sort Muzaffer İlhan
collection DOAJ
description 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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spelling doaj.art-8a00f45638e0489c82f79ea69ecedabf2023-02-15T16:08:50ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882017-03-01551616310.4274/haseki.3073An Unusual Case of Cushing’s Syndrome: Coexistence of Functional Pituitary and Adrenal AdenomaMuzaffer İlhan0Özcan Karaman1İrem Yasin Çetin2Nur Büyükpınarbaşılı3Jamshid Hamdard4Ertuğrul Taşan5Ümraniye Training and Research Hospital, Clinic of Endocrinology and Metabolism Diseases, İstanbul, TurkeyBezmialem Vakıf University Faculty of Medicine, Department of Endocrinology and Metabolism Diseases, İstanbul, TurkeyBezmialem Vakıf University Faculty of Medicine, Department of Internal Diseases, İstanbul, TurkeyBezmialem Vakıf University Faculty of Medicine, Department of Pathology, İstanbul, TurkeyBezmialem Vakıf University Faculty of Medicine, Department of Internal Diseases, İstanbul, TurkeyBezmialem Vakıf University Faculty of Medicine, Department of Endocrinology and Metabolism Diseases, İstanbul, TurkeyA 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.http://www.hasekidergisi.com/article_14826/An-Unusual-Case-Of-Cushings-Syndrome-Coexistence-Of-Functional-Pituitary-And-Adrenal-AdenomaCushing’s syndromeCushing’s diseaseadrenal adenoma
spellingShingle Muzaffer İlhan
Özcan Karaman
İrem Yasin Çetin
Nur Büyükpınarbaşılı
Jamshid Hamdard
Ertuğrul Taşan
An Unusual Case of Cushing’s Syndrome: Coexistence of Functional Pituitary and Adrenal Adenoma
Haseki Tıp Bülteni
Cushing’s syndrome
Cushing’s disease
adrenal adenoma
title An Unusual Case of Cushing’s Syndrome: Coexistence of Functional Pituitary and Adrenal Adenoma
title_full An Unusual Case of Cushing’s Syndrome: Coexistence of Functional Pituitary and Adrenal Adenoma
title_fullStr An Unusual Case of Cushing’s Syndrome: Coexistence of Functional Pituitary and Adrenal Adenoma
title_full_unstemmed An Unusual Case of Cushing’s Syndrome: Coexistence of Functional Pituitary and Adrenal Adenoma
title_short An Unusual Case of Cushing’s Syndrome: Coexistence of Functional Pituitary and Adrenal Adenoma
title_sort unusual case of cushing s syndrome coexistence of functional pituitary and adrenal adenoma
topic Cushing’s syndrome
Cushing’s disease
adrenal adenoma
url http://www.hasekidergisi.com/article_14826/An-Unusual-Case-Of-Cushings-Syndrome-Coexistence-Of-Functional-Pituitary-And-Adrenal-Adenoma
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