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Adrenocorticotropic hormone-independent cushing syndrome with bilateral cortisol-secreting adenomas.
[cushing syndrome]
A
48
-
year
-old
woman
was
incidentally
found
to
have
bilateral
adrenal
masses
,
2
.
8
cm
in
diameter
on
the
right
,
and
2
.
3
cm
and
1
.
7
cm
in
diameter
on
the
left
,
by
abdominal
computed
tomography
.
The
patient
had
a
medical
history
of
hypertension
,
which
was
not
being
controlled
by
carvedilol
,
at
a
dose
of
25
mg
daily
.
She
presented
with
signs
and
symptoms
that
suggested
Cushing
Syndrome
.
We
diagnosed
adrenocorticotropic
hormone
(
ACTH
)
-
independent
Cushing
Syndrome
based
on
the
results
of
basal
and
dynamic
hormone
tests
.
Adrenal
vein
sampling
(
AVS
)
was
performed
to
localize
a
functioning
adrenal
cortical
mass
.
AVS
results
were
consistent
with
hypersecretion
of
cortisol
from
both
adrenal
glands
,
with
a
cortisol
lateralization
ratio
of
1
.
1
.
Upon
bilateral
laparoscopic
adrenalectomy
,
bilateral
ACTH-independent
adrenal
adenomas
were
found
.
The
patient
's
signs
and
symptoms
of
Cushing
Syndrome
improved
after
surgery
just
as
the
blood
pressure
was
normalized
.
After
surgery
,
the
patient
was
started
on
glucocorticoid
and
mineralocorticoid
replacement
therapy
.
Diseases
Validation
Diseases presenting
"hypertension"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
aniridia
aromatase deficiency
cadasil
child syndrome
cohen syndrome
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cushing syndrome
cystinuria
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
fabry disease
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
holt-oram syndrome
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kallmann syndrome
kindler syndrome
lamellar ichthyosis
lymphangioleiomyomatosis
pendred syndrome
primary effusion lymphoma
scrub typhus
severe combined immunodeficiency
sneddon syndrome
typhoid
von hippel-lindau disease
well-differentiated liposarcoma
werner syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
This symptom has already been validated