An Unusual Case of Cushing’s Syndrome: Coexistence of Functional Pituitary and Adrenal Adenoma
Date
2017-04-01Author
İLHAN, MAHMUT MUZAFFERKARAMAN, ÖZCAN
YASİN ÇETİN, AYŞE İREM
BÜYÜKBAŞLI, NUR
HAMDARD, JAMSHİD
TAŞAN, ERTUĞRUL
Advisor
Type
Metadata
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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.