title: [Subclinical Cushing's syndrome with primary aldosteronism with the developing symptom of complications : a case report].
abstract: A 42-year-old female patient had been receiving medication for hypertension. Her symptoms worsened in 2007. A computed tomography image revealed a 2.5 cm round mass in the right adrenal gland. According to a careful examination, the patient was diagnosed with primary aldosteronism and subclinical Cushing's syndrome. There were no remarkable physical features related to Cushing's syndrome. The patient chose a medical therapy instead of surgery. In 2012, regardless of strict diet therapy, however, the patient gained 10 kg weight in a year. The diagnosis was the same as that determined in 2007, except for exceeding value of cortisol over the criterion for Cushing's syndrome. A laparoscopic right adrenalectomy was performed to attenuate Cushing's syndrome. The histopathological examination revealed an adrenocortical adenoma. The patient lost 4.5 kg of weight 2 months after the surgery.
authors: The Department of Urology, Osaka University Graduate School of Medicine.
authors: Yusuke
authors: Y
authors: Inagaki
authors: Motohide
authors: M
authors: Uemura
authors: Wataru
authors: W
authors: Nakata
authors: Yasutomo
authors: Y
authors: Nakai
authors: Hitoshi
authors: H
authors: Takayama
authors: Akira
authors: A
authors: Tsujimura
authors: Norio
authors: N
authors: Nonomura
authors: Tetsuhiro
authors: T
authors: Kitamura
authors: Michio
authors: M
authors: Otsuki
mesh_terms: D000236:Adenoma / Q000150:complications; D000310:Adrenal Gland Neoplasms / Q000150:complications; D000315:Adrenalectomy; D000328:Adult; D003480:Cushing Syndrome / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications* / Q000601:surgery; D015430:Weight Gain / Q000502:physiology