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일측성 부신절제로 완치된 양측성 거대결절성 부신피질증식증에 의한 쿠싱증후군 1예

Other Titles
 A Case of Bilateral Macronodular Adrenal Hyperplasia with Cushing´s Syndrome Terated by Unilateral Adrenalectomy 
Authors
 이시훈  ;  이광은  ;  강은석  ;  차봉수  ;  임승길  ;  이현철  ;  허갑범 
Citation
 Journal of Korea Society of Endocrinology (대한내분비학회지), Vol.17(4) : 596-602, 2002 
Journal Title
 Journal of Korea Society of Endocrinology (대한내분비학회지) 
ISSN
 1015-6380 
Issue Date
2002
Keywords
ACTH independent bilateral macronodular adrenal hyperplasia (AIMAH) ; Cushing's syndrome ; High dose dexamethasone suppression test (HDDST)
Abstract
In order to differentiate the causes of Cushing´s syndrome; whether it is pituitary or adrenal-dependent, a high dose dexamethasone suppression test is usually performed but this does not always correlated with the imaging diagnosis. We report a case of bilateral macronodular adrenal hyperplasia, which was thought to be independent to adrenocorticotrophin(ACTH) stimulation. At first we thought it was pituitary-dependent Cushing´s syndrome, due to its suppression by high dose dexamethasone. However, we found no abnormal findings on the brain sella magnetic resonance image(MRI). A significant finding, however, we found bilateral adrenal masses on the abdominal computed tomography(CT). We performed percutaneous selective adrenal venous sampling(PSAVS), and confirmed hypercortisolism of the left adrenal mass only. Therefore, we decided to remove the left adrenal gland to preserve the residual function of the right adrenal gland. After the left adrenalectomy, the patient became normotensive, and their buffalo hump disappeared, and her 24 hour urinary free cortisol level returned to normal
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Eun Seok(강은석) ORCID logo https://orcid.org/0000-0002-0364-4675
Cha, Bong Soo(차봉수) ORCID logo https://orcid.org/0000-0003-0542-2854
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/144607
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