title: Early severe pre-eclamptic findings in a patient with Cushing's syndrome.
abstract: Cushing's syndrome occurs rarely in pregnancy because of ovulatory disturbances including anovulation which is caused by hypercortisolism, but it can cause maternal complications such as hypertension, gestational diabetes, spontaneous abortion, premature birth, pre-eclampsia and stillbirth. Herein we present the case of a 22-year-old patient in the 11th week of pregnancy who was admitted to our hospital with Cushing's syndrome complicated by early pre-eclampsia. Severe pre-eclampsia has high maternal and perinatal morbidities, and therefore the possibility of this complication requires that Cushing's syndrome, although rare in pregnancy, be given a high clinical suspicion. Medical therapy and/or surgical therapy should be considered promptly to influence outcome favorably.
authors.affiliation: Department of Endocrinology and Metabolism, Ankara Numune Training and Research Hospital, Ankara, Turkey.
authors.forename: Tuncay
authors.initials: T
authors.lastname: Delibasi
authors.forename: Ihsan
authors.initials: I
authors.lastname: Ustun
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Aydin
authors.forename: Dilek
authors.initials: D
authors.lastname: Berker
authors.forename: Halil Kutlu
authors.initials: HK
authors.lastname: Erol
authors.forename: Kamile
authors.initials: K
authors.lastname: Gul
authors.forename: Mustafa
authors.initials: M
authors.lastname: Unal
authors.forename: Serdar
authors.initials: S
authors.lastname: Guler
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D018246:Adrenocortical Adenoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D003480:Cushing Syndrome / Q000150:complications* / Q000209:etiology; D005260:Female; D006801:Humans; D011225:Pre-Eclampsia / Q000209:etiology*; D011247:Pregnancy; D011859:Radiography