title: [Case report: bilateral Cushing's syndrome].
abstract: The authors report a case of a 49-year-old woman presenting a Cushing's syndrome (January 1997). The Magnetic Resonance Image of the pituitary gland revealed a microadenoma without extension in the cavernous sinus and a partial empty sella. The computed tomography scan showed a discreet bilateral adrenal hyperplasia with a left nodule (23 mm in diameter) a second nodule was noted. These data suggested the eventuality of maconodular adrenocortical hyperplasia in long-standing Cushing's disease. We discuss the implications of this finding for diagnosis, treatment and follow-up.
authors.affiliation: Service de Néphrologie et de Médecine Interne, Unité d'endocrinologie Hôpital Charles Nicolle, Tunis, Tunisie.
authors.forename: Héla
authors.initials: H
authors.lastname: Cheikhrouhou
authors.forename: Karima
authors.initials: K
authors.lastname: Khiari
authors.forename: Lotfi
authors.initials: L
authors.lastname: Chérif
authors.forename: Néjib
authors.initials: N
authors.lastname: Ben Abdallah
authors.forename: Hédi
authors.initials: H
authors.lastname: Ben Maïz
mesh_terms: D000236:Adenoma / Q000473:pathology / Q000601:surgery; D000311:Adrenal Glands / Q000473:pathology*; D003480:Cushing Syndrome / Q000473:pathology*; D005260:Female; D006801:Humans; D006965:Hyperplasia; D008875:Middle Aged; D010902:Pituitary Gland / Q000473:pathology; D010911:Pituitary Neoplasms / Q000473:pathology* / Q000601:surgery