内分泌学
内科学
病态的
地塞米松
库欣综合征
增生
医学
肾上腺腺瘤
腺瘤
肾上腺皮质癌
肾上腺皮质功能亢进
肾上腺皮质腺瘤
氢化可的松
作者
Marvin A. Kirschner,Ralph D. Powell,Mortimer B. Lipsett
标识
DOI:10.1210/jcem-24-10-947
摘要
A case of long-standing Cushing's syndrome with an unusual form of bilateral multinodular adrenal hyperplasia has been studied. The patient demonstrated hyperresponsiveness to ACTH, and failure of suppression to a prolonged course of dexamethasone. Steroid excretion was characterized by high levels of 3β-hydroxy-Δ6-steroids and cortisol metabolites, but not tetrahydro S (3α,17,21-trihydroxy-5β-pregnan-20-one). Possible relationships to adenoma or carcinoma are considered.
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