2004
DOI: 10.1507/endocrj.51.201
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Reversible Pituitary Dysfunction in a Patient with Cushing's Syndrome Discovered as Adrenal Incidentaloma

Abstract: Abstract. We report a 45-year-old woman with Cushing's syndrome showing reversible pituitary dysfunction. Left adrenal tumor was incidentally discovered by a screening examination of abdominal computed tomography. Although this patient lacked typical Cushingoid features except hypertension and leg edema, endocrine examinations revealed moderate suppression of plasma ACTH (~6.3 pg/ml) with relatively high levels of serum cortisol (~22.9 mg/dl) without normal circadian rhythm. Plasma ACTH failed to respond to ei… Show more

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Cited by 7 publications
(1 citation statement)
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“…3 The principal glucocorticoid hormone is cortisol, which is modulated by tissue-specific enzymes: 11β-hydroxysteroid dehydrogenase type 1 (11β-HSD1) and type 2 (11β-HSD2). 11β-HSD1 catalyzes the enzymatic conversion of inactive cortisone in human to their active forms (cortisol, corticosterone), whereas 11β-HSD2 catalyzes the reverse reaction.…”
Section: Introductionmentioning
confidence: 99%
“…3 The principal glucocorticoid hormone is cortisol, which is modulated by tissue-specific enzymes: 11β-hydroxysteroid dehydrogenase type 1 (11β-HSD1) and type 2 (11β-HSD2). 11β-HSD1 catalyzes the enzymatic conversion of inactive cortisone in human to their active forms (cortisol, corticosterone), whereas 11β-HSD2 catalyzes the reverse reaction.…”
Section: Introductionmentioning
confidence: 99%