Silva BCC, Baruqui Júnior AM, Barbosa VE, Pena GPM, Campos MHDF, Ramos AV, Dias EP. [Subclinical Cushing's disease: presentation of three cases and critical review].
ACTA ACUST UNITED AC 2008;
51:625-30. [PMID:
17684625 DOI:
10.1590/s0004-27302007000400018]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2005] [Accepted: 02/26/2007] [Indexed: 11/21/2022]
Abstract
Unlike subclinical Cushing's disease, adrenal subclinical Cushing's syndrome is widely recognized. It is defined as an autonomous cortisol hyperproduction of mild intensity not causing specific clinical signs, but detectable biochemically as derangements of the hypothalamic-pituitary-adrenal axis function. Although Cushing's disease accounts for the majority of hypercortisolism states, subclinical Cushing's disease has been rarely reported. Three cases of subclinical Cushing's disease due to pituitary corticotrophic macroadenomas, confirmed by immunohistochemistry, are presented in order to underscore its recognition by clinical endocrinologists and to emphasize a diagnostic evaluation of hypercortisolism in all cases of pituitary adenomas.
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