Cushing Syndrome Caused by ACTH-independent Macronodular Adrenal Hyperplasia / 대한내과학회지
Korean Journal of Medicine
; : 190-194, 2017.
Article
in En
| WPRIM
| ID: wpr-193482
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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.
Key words
Full text:
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Index:
WPRIM
Main subject:
Adrenal Glands
/
Adrenalectomy
/
Cushing Syndrome
/
Endocrinology
/
Hyperplasia
Limits:
Aged
/
Female
/
Humans
Language:
En
Journal:
Korean Journal of Medicine
Year:
2017
Type:
Article