Spontaneous remission of unidentified Cushing's disease revealed by hair cortisol analysis

被引：0

作者：

van Boven, E. ^{[1
]}

Massolt, E. T. ^{[1
]}

van Rossum, E. F. C. ^{[2
]}

Kiewiet-Kemper, R. M. ^{[1
]}

机构：

[1] Albert Schweitzer Hosp, Dept Internal Med, Dordrecht, Netherlands

[2] Erasmus MC, Dept Internal Med, Div Endocrinol, Rotterdam, Netherlands

来源：

NETHERLANDS JOURNAL OF MEDICINE | 2020年 / 78卷 / 05期

关键词：

Cushing's disease; hair cortisol analysis; pituitary apoplexy; PITUITARY APOPLEXY; TUMOR APOPLEXY;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pituitary apoplexy is an infrequent but life-threatening complication of pituitary adenomas. When apoplexy occurs in a hormonally active adenoma, this may induce spontaneous remission of the clinical syndrome. In these cases, clinical suspicion of Cushing's disease or acromegaly may arise at presentation, but due to spontaneous remission of active hormone production, it is not possible to biochemically confirm this diagnosis in retrospect. Resolution of clinical symptoms during follow up retrospectively suggests the diagnosis. However, we describe a patient with Cushing's disease presenting with pituitary apoplexy, who was biochemically in remission at presentation. The diagnosis could be confirmed in retrospect using hair cortisol analysis, thereby enabling clinicians to adequately anticipate remission of Cushing's disease.

引用

页码：297 / 299

页数：3

共 50 条

[41] Salivary cortisol is a useful tool to assess the early response to pasireotide in patients with Cushing’s disease [J].

Laura Trementino ;

Marina Cardinaletti ;

Carolina Concettoni ;

Giorgia Marcelli ;

Barbara Polenta ;

Maurizio Spinello ;

Marco Boscaro ;

Giorgio Arnaldi .

Pituitary, 2015, 18 :60-67

[42] Diurnal Range and Intra-patient Variability of ACTH Is Restored With Remission in Cushing's Disease [J].

Alvarez, Reinier ;

Hogan, Elizabeth ;

Asuzu, David T. ;

Wu, Tianxia ;

Oshegbo, Gloria ;

McGlotten, Raven ;

Cortes, Michaela ;

Hayes, Christina ;

Stratakis, Constantine A. ;

Tatsi, Christina ;

Nieman, Lynnette K. ;

Chittiboina, Prashant .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2023, 108 (11) :2812-2820

[43] The Role of Serum Inflammation-Based Scores in Diagnosis and Assessing Remission in Cushing's Disease [J].

Canat, Muhammed Masum ;

Turkkan, Ceren Yarkutay ;

Erhan, Hazan ;

Ozturk, Feyza Yener ;

Altuntas, Yuksel .

MEDICAL BULLETIN OF SISLI ETFAL HOSPITAL, 2023, 57 (02) :250-256

[44] Development of Machine Learning Models for Predicting Postoperative Delayed Remission in Patients With Cushing's Disease [J].

Fan, Yanghua ;

Li, Yichao ;

Bao, Xinjie ;

Zhu, Huijuan ;

Lu, Lin ;

Yao, Yong ;

Li, Yansheng ;

Su, Mingliang ;

Feng, Feng ;

Feng, Shanshan ;

Feng, Ming ;

Wang, Renzhi .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2021, 106 (01) :E217-E231

[45] Presurgical predictive factors of surgical remission in Cushing's disease. Study of 32 cases [J].

Araujo-Castro, Marta ;

Marchan Pinedo, Marta ;

Fernandez-Argueso, Maria ;

Perez Perez, Maria ;

Barrero Ruiz, Estrella ;

Pian, Hector ;

Rodriguez Berrocal, Victor ;

Pascual-Corrales, Eider .

ENDOCRINOLOGIA DIABETES Y NUTRICION, 2022, 69 (08) :584-590

[46] Remission rate after transsphenoidal surgery in patients with pathologically confirmed Cushing’s disease, the role of cortisol, ACTH assessment and immediate reoperation: a large single center experience [J].

Nadia Hameed ;

Chris G. Yedinak ;

Jessica Brzana ;

Sakir H. Gultekin ;

Nicholas D. Coppa ;

Aclan Dogan ;

Johnny B. Delashaw ;

Maria Fleseriu .

Pituitary, 2013, 16 :452-458

[47] Remission rate after transsphenoidal surgery in patients with pathologically confirmed Cushing's disease, the role of cortisol, ACTH assessment and immediate reoperation: a large single center experience [J].

Hameed, Nadia ;

Yedinak, Chris G. ;

Brzana, Jessica ;

Gultekin, Sakir H. ;

Coppa, Nicholas D. ;

Dogan, Aclan ;

Delashaw, Johnny B. ;

Fleseriu, Maria .

PITUITARY, 2013, 16 (04) :452-458

[48] Low immediate postoperative serum-cortisol nadir predicts the short-term, but not long-term, remission after pituitary surgery for Cushing’s disease [J].

Jon Ramm-Pettersen ;

Helene Halvorsen ;

Johan Arild Evang ;

Pål Rønning ;

Per Kristian Hol ;

Jens Bollerslev ;

Jon Berg-Johnsen ;

Eirik Helseth .

BMC Endocrine Disorders, 15

[49] Low immediate postoperative serum-cortisol nadir predicts the short-term, but not long-term, remission after pituitary surgery for Cushing's disease [J].

Ramm-Pettersen, Jon ;

Halvorsen, Helene ;

Evang, Johan Arild ;

Ronning, Pal ;

Hol, Per Kristian ;

Bollerslev, Jens ;

Berg-Johnsen, Jon ;

Helseth, Eirik .

BMC ENDOCRINE DISORDERS, 2015, 15

[50] Spontaneous and cytokine-induced natural killer cytotoxicity in patients with Cushing's disease [J].

Cardoso, E ;

Arregger, AL ;

Ofner, LM ;

Estrada, G ;

Goldberg, V ;

Contreras, LN .

ENDOCRINOLOGIST, 2003, 13 (06) :459-464

← 1 2 3 4 5 →