[Differential diagnosis and medical treatment in Cushing's disease].
Cushing's disease remains a difficult diagnosis in spite of new technical procedures such as pituitary MRI, selective bilateral petrosal or cavernous sampling, (111)In pentreotide scan and 18 Flurodeoxyglucose pituitary PET scan. In this article, we review biological diagnostic procedures of Cushing's disease and corticotroph adenomas. According to our experience and the literature, we summarize the approach in medical treatment of Cushing's disease.
Beckers
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Service d'Endocrinologie et, Centre Hospitalier, Liège, Belgique. Albert.Beckers@chu.ulg.ac.be
Valdes-Socin
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Betea
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Stevenaert
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D000182:ACTH Syndrome, Ectopic / Q000150:complications; D000236:Adenoma / Q000150:complications / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery; D000306:Adrenal Cortex Neoplasms / Q000150:complications / Q000601:surgery; D000308:Adrenocortical Hyperfunction / Q000150:complications / Q000188:drug therapy; D000324:Adrenocorticotropic Hormone / Q000097:blood / Q000378:metabolism; D000328:Adult; D000465:Algorithms; D002276:Carcinoid Tumor / Q000378:metabolism; D002648:Child; D003346:Corticotropin-Releasing Hormone; D003480:Cushing Syndrome / Q000145:classification / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D003907:Dexamethasone; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D018491:Dopamine Agonists / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007030:Hypothalamo-Hypophyseal System / Q000187:drug effects / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D017591:Petrosal Sinus Sampling; D010911:Pituitary Neoplasms / Q000150:complications / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery; D010912:Pituitary-Adrenal Function Tests; D010913:Pituitary-Adrenal System / Q000187:drug effects / Q000503:physiopathology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic; D014667:Vasopressins
D018491:Dopamine Agonists; D014667:Vasopressins; D003907:Dexamethasone; D000324:Adrenocorticotropic Hormone; D003346:Corticotropin-Releasing Hormone
Diagnostic différentiel et traitement médical dans la maladie de Cushing.