Taieb A, Ghada S, Asma G, Asma BA, Maha K, Koussay A. Concomitant coexistence of ACTH‐dependent and independent Cushing syndrome.
Clin Case Rep 2022;
10:e05834. [PMID:
35582163 PMCID:
PMC9083811 DOI:
10.1002/ccr3.5834]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 04/04/2022] [Accepted: 04/22/2022] [Indexed: 11/21/2022] Open
Abstract
We report a case of a patient who presented for ACTH‐dependent Cushing after a confirmed hypercortisolism and an inadequate normal ACTH. A transsphenoidal surgery of a pituitary picoadenoma has been done. After surgery, the patient showed the persistence of hypercortisolism. CT scan revealed adrenal adenomas removed surgically and improved the patient.
The concomitant coexistence of ACTH‐dependent and independent Cushing syndrome remains extremely rare. The difficulty is to determine whether the adrenal dependency existed at the time of the diagnosis or if it developed postoperatively.
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