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Rev Med Chil ; 126(9): 1103-7, 1998 Sep.
Artigo em Espanhol | MEDLINE | ID: mdl-9922515

RESUMO

The case of a 49 yr old alcoholic women with clinical and laboratory findings that suggested a Cushing syndrome is presented. The functional tests showed cortisol suppression greater than 50% of the basal value with 8 mg of dexamethasone and no response in the combined dexamethasone/desmopressin test. Pituitary Nuclear Magnetic Resonance (NMR) was negative, Abdominal Computed Axial Tomography suggested hyperplastic adrenal glands; adrenal nodules were not found in the NMR. Pituitary or hipothalamic Cushing with secondary autonomous micronodular adrenal hyperplasia was suspected. Norcholesterol-I131 SPECT scintigraphy under dexamethasone suppression demonstrated a functional adrenal hyperplasia which was hystologically confirmed.


Assuntos
19-Iodocolesterol/análogos & derivados , Córtex Suprarrenal/diagnóstico por imagem , Síndrome de Cushing/diagnóstico por imagem , Glândulas Suprarrenais , Síndrome de Cushing/etiologia , Feminino , Humanos , Pessoa de Meia-Idade , Hipófise , Tomografia Computadorizada de Emissão de Fóton Único
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