title: Central serous chorioretinopathy as a presenting symptom of endogenous Cushing syndrome: a case report.
abstract: OBJECTIVE
  To report a case of Cushing syndrome due to adrenocortical adenoma revealed by central serous chorioretinopathy.
  
  
  METHODS
  A 45-year-old man presented with blurred vision and metamorphopsia in the left eye. He reported few episodes of high blood pressure in the last 3 months.
  
  
  RESULTS
  Visual acuity was 20/40 in the left eye. Fundus oculi examination revealed central serous chorioretinopathy in the left eye. Grade 1 hypertension was found. Increased serum and urinary levels of cortisol and reduced serum levels of ACTH were observed. Diagnosis of Cushing syndrome was made. Computed tomography scan revealed a right adrenal mass that was surgically removed; histologic examination showed an adrenocortical adenoma. Three months after surgical treatment, visual acuity improved to 20/20 and central serous chorioretinopathy completely resolved.
  
  
  CONCLUSIONS
  Central serous chorioretinopathy may be the presenting symptom of Cushing syndrome in a patient with adrenocortical adenoma.
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Sapienza University, Rome, Italy. l.iannetti@policlinicoumberto1.it
authors.forename: Ludovico
authors.initials: L
authors.lastname: Iannetti
authors.forename: Giovanni
authors.initials: G
authors.lastname: Spinucci
authors.forename: Francesca Romana
authors.initials: FR
authors.lastname: Pesci
authors.forename: Roberto
authors.initials: R
authors.lastname: Vicinanza
authors.forename: Antonio
authors.initials: A
authors.lastname: Stigliano
authors.forename: Paola
authors.initials: P
authors.lastname: Pivetti-Pezzi
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D000306:Adrenal Cortex Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D000324:Adrenocorticotropic Hormone / Q000097:blood; D056833:Central Serous Chorioretinopathy / Q000097:blood / Q000175:diagnosis* / Q000652:urine; D003480:Cushing Syndrome / Q000097:blood / Q000175:diagnosis* / Q000652:urine; D006801:Humans; D006854:Hydrocortisone / Q000097:blood / Q000652:urine; D006973:Hypertension / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000175:diagnosis; D014792:Visual Acuity
chemical_list: D000324:Adrenocorticotropic Hormone; D006854:Hydrocortisone