European Journal of Case Reports in Internal Medicine (Apr 2016)

ACTH-dependent Cushing's Syndrome: Diagnostic Pitfalls in Concomitant Non-secreting Pituitary Adenomas

  • Pietro Lucotti,
  • Cesare Zoia,
  • Elisabetta Lovati,
  • Paolo Gaetani,
  • Gino Roberto Corazza

DOI
https://doi.org/10.12890/2016_000389
Journal volume & issue
Vol. 3, no. 3

Abstract

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Objectives: To describe the possible pitfalls in correctly interpreting clinical, radiological and biochemical findings in ACTH-dependent Cushing's syndrome. Methods: We describe a case of a pituitary adenoma visualized at MRI not correlated with an ACTH-dependent Cushing’s syndrome. Results: Radiological imaging and hormonal testing can be misleading in suspected pituitary ACTH-related Cushing’s syndrome. Conclusion: Correct interpretation of the initial clinical presentation can help in the proper diagnosis and treatment of ACTH-dependent Cushing’s syndrome.

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