Simultaneous pituitary and adrenal adenomas in a patient with non ACTH dependent Cushing syndrome; a case report with literature review

Ahmed, Shaho F.; Bapir, Rawa; Fattah, Fattah H.; Mahmood, Aras Gh; Salih, Rawezh Q.; Salih, Abdulwahid M.; Tahir, Soran H.; Kakamad, Fahmi H.

doi:10.1016/j.ijscr.2022.107038

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…Zou et al 10.3389/fsurg.2022.1017603 manifestations (7). Clinical localisation and diagnosis of an adrenal tumour are mainly based on imaging examinations, such as ultrasound, CT and MRI.…”

Section: Discussionmentioning

confidence: 99%

“…Adrenal tumours are common in urology and endocrinology ( 1 – 3 ). The common clinical manifestations are secondary to excessive secretion of adrenal-gland-related hormones, such as hypertension, hyperglycaemia, myasthenia, puffiness, full-moon face, buffalo hump and irregular menstruation, but some patients may have no specific clinical manifestations ( 7 ). Clinical localisation and diagnosis of an adrenal tumour are mainly based on imaging examinations, such as ultrasound, CT and MRI.…”

Section: Discussionmentioning

confidence: 99%

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Case report: Misdiagnosis of accessory spleen in the left adrenal region as an adrenal tumour after splenectomy

Zou

Xie²,

Yan³

et al. 2022

Front. Surg.

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BackgroundAdrenal tumours are common in urology and endocrinology, and the diagnosis of adrenal tumours were mainly depends on imaging diagnosis. Howerver, misdiagnosis can still occur for some adrenal space-occupying lesions without specific manifestations or abnormal biochemical indexes.MethodsWe report the case of a 55-year-old patient with a soft-tissue mass in the left adrenal region, and have no specific manifestations or abnormalities in biochemical indexes. The patient had undergone open splenectomy 20 years ago for splenic rupture caused by traffic-accident trauma, and had a 10-year special history of hypertension. Because of the uncertain nature of the mass, surgical treatment was recommended.ResultsThe surgeon managed to remove the left adrenal region mass. During the surgery, the adrenal source was excluded. In the histological examination, the splenic corpuscle and splenic medullary structure were seen under the microscope, and an accessory spleen was diagnosed.ConclusionsThe accessory spleen was located in the adrenal region rarely, and can easily be misdiagnosed as an adrenal tumour. When the cases show abnormal adrenal space-occupying lesions in imaging examinations, non-adrenal diseases should be considered. we need to combine different imaging techniques for analysis, and think more about it, avoid misdiagnosis leading to unnecessary surgery.

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“…Zou et al 10.3389/fsurg.2022.1017603 manifestations (7). Clinical localisation and diagnosis of an adrenal tumour are mainly based on imaging examinations, such as ultrasound, CT and MRI.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Case report: Misdiagnosis of accessory spleen in the left adrenal region as an adrenal tumour after splenectomy

Zou

Xie²,

Yan³

et al. 2022

Front. Surg.

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Dental Considerations and Precautions Associated with Oral Excisional Biopsy on a Patient with Cushing’s Syndrome (Hypercortisolism)

Mirfarsi

Seleem

Sathananthan

2023

Dental Clinics of North America

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BETAMETHASONE cream to treat diapers rash causing Cushing syndrome

Ali

Habib

Zohair

et al. 2023

Journal of Pediatric Endocrinology and Metabolism

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Objective Betamethasone causing iatrogenic Cushing’s syndrome (CS) in infants are rarely reported. Case Presentation ∗ In this case report, there were severe signs of CS, such as considerable weight acceleration and concurrent height deceleration, hirsutism and ecchymosis of the face, and buffalo pad, which are often found in adults. ∗ Clobetasol propionate, diflucortolone valerate, and dexamethasone nasal sprays were used in the majority of previously reported cases of corticosteroid abuse, whereas this is the first case of CS in an infant as a result of the use of betamethasone cream, also known as betnesol, which is frequently used by mothers in developing countries as a treatment for rashes. ∗ In this instance, a severe medication interaction caused by systemic betamethasone cream buildup led to the creation of CS. For the professionals, these patients are a challenge because of drug use without prescription. Conclusion Topical corticosteroid usage puts infants at risk for CS. Because of excessive betamethasone treatment in this child with diaper dermatitis, he acquired CS. It is said to draw attention to the risks of self-medication in developing nations.

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Simultaneous pituitary and adrenal adenomas in a patient with non ACTH dependent Cushing syndrome; a case report with literature review

Cited by 3 publications

References 28 publications

Case report: Misdiagnosis of accessory spleen in the left adrenal region as an adrenal tumour after splenectomy

Case report: Misdiagnosis of accessory spleen in the left adrenal region as an adrenal tumour after splenectomy

Dental Considerations and Precautions Associated with Oral Excisional Biopsy on a Patient with Cushing’s Syndrome (Hypercortisolism)

BETAMETHASONE cream to treat diapers rash causing Cushing syndrome

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