Cushing's syndrome caused by an occult source: difficulties in diagnosis and management

被引:0
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作者
Ashley B Grossman
Philip Kelly
Andrea Rockall
Satya Bhattacharya
Ann McNicol
Tara Balwick
机构
[1] Centre for Endocrinology,a reader in pathology at the Division of Cancer Sciences and Molecular Pathology, Pathology Department
[2] St Bartholomew’s Hospital,undefined
[3] University of London,undefined
[4] UK.,undefined
[5] a consultant hepatobiliary surgeon at The Royal London Hospital,undefined
[6] Royal Infirmary,undefined
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摘要
Background A 24-year-old woman presented with a 12.5 kg weight gain over 6 months (mostly abdominal), hirsutism, acne, ankle edema, polydipsia, nocturia, back pain, pigmentation, poor libido and lightened menses to our hospital in May 1986. She had been treated for the previous 2 years with furosemide and spironolactone for peripheral edema, and had stopped the combined oral contraceptive 2 months previously. She did not take tobacco, recreational drugs or alcohol. Upon physical examination she was grossly Cushingoid with florid clinical manifestations.
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页码:642 / 647
页数:5
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