Paracardiac lipomatosis in exogenous Cushing's syndrome

Putte, L. B. A. Van De; Wagenaar, J. P. M.; San, Kwa Hian

doi:10.1136/thx.28.5.653

Cited by 14 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…12 Radiographically, ML can present as a mimic of widened mediastinum, pleural effusion, pericardial effusion, or cardiac mass. [6][7][8][9]13 The duration of steroid therapy necessary to produce clinically significant fat deposition is unclear, as the vast majority of cases of steroid-associated ML are reported in patients who have been on chronic steroid therapy for months to years. [6][7][8][9] In this case, new epicardial lipomatosis was discovered on imaging merely 3 weeks after the patient was initiated on steroid therapy.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Rare Case of Sarcoidosis-Induced Polyserositis and Steroid-Induced Mediastinal Lipomatosis Masquerading as an Epicardial Tumor

Qiu

Dwivedi

Alter

et al. 2020

CASE

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5] Benign mediastinal lipomatosis (ML) is an uncommon complication of treatment with steroid therapy. [6][7][8][9] Here we describe the simultaneous occurrence of these two rare conditions and the imaging modalities that facilitated diagnosis in the case of a 49-year-old man presenting with acute chest pain.…”

Section: Introductionmentioning

confidence: 98%

A Rare Case of Sarcoidosis-Induced Polyserositis and Steroid-Induced Mediastinal Lipomatosis Masquerading as an Epicardial Tumor

Qiu

Dwivedi

Alter

et al. 2020

CASE

View full text Add to dashboard Cite

“…Steroids are known to mobilize and break down the reserve fatty tissue, leading to a centripetal fat deposition. In the chest, this leads to an accumulation of fat in the mediastinum, epidura, subepicardium, in the interatrial septum, and even in the myocardium [7,8,9,10,11,12,13]. Epidural lipomatosis can cause signs of myelopathy [14].…”

Section: Introductionmentioning

confidence: 99%

Esophageal lipomatosis: another consequence of the use of steroids

et al. 2000

View full text Add to dashboard Cite

After we incidentally found on CT extensive esophageal fat accumulations in a patient with long-term use of steroids, we prospectively evaluated during a 6-month period all CT studies of the chest for esophageal lipomatosis and related the findings to the possible use of steroids. The diagnosis of esophageal fat on CT was made by density measurements or if too small for reliable density measurements by comparison with mediastinal fat. In 21 of 1,320 exclusively older male patients the diagnosis of esophageal lipomatosis was definite in 7 and likely in 14 patients. All fat accumulations were located in the upper third of the esophagus (mean length 22 +/- 6 mm) and presented ring-like (n = 10), irregular (n = 3), or as a horseshoe sparing the posterior border (n = 8). In 20 patients there was an unequivocal history of steroid treatment. Associated centripetal fat infiltration was found in 11 patients. None of the patients had swallowing problems. Prolonged use of steroids, either orally or inhalationally administered, is associated with esophageal lipomatosis. The predisposition for the upper esophagus might be related to the presence of striated muscle cells in this part of the esophagus; moreover, inhalational steroid therapy may adversely affect the upper esophagus.

show abstract

Corticosteroid-Induced Mediastinal Widening in Myasthenia Gravis

Strother¹

1975

Archives of Neurology

View full text Add to dashboard Cite

Corticosteroid-induced mediastinal widening with simulated focal lymphadenopathy was found in a patient having myasthenia gravis. To my knowledge, this is the first report of such changes occurring in a patient having myasthenia gravis. As the use of corticosteroids in the treatment of myasthenia gravis becomes more common, this association can be expected to occur more often. Reemphasis of this phenomenon should help to avoid unnecessary surgical intervention in these patients.

show abstract

Paracardiac lipomatosis in exogenous Cushing's syndrome

Cited by 14 publications

References 8 publications

A Rare Case of Sarcoidosis-Induced Polyserositis and Steroid-Induced Mediastinal Lipomatosis Masquerading as an Epicardial Tumor

A Rare Case of Sarcoidosis-Induced Polyserositis and Steroid-Induced Mediastinal Lipomatosis Masquerading as an Epicardial Tumor

Esophageal lipomatosis: another consequence of the use of steroids

Corticosteroid-Induced Mediastinal Widening in Myasthenia Gravis

Contact Info

Product

Resources

About