title: [A rare form of adrenal Cushing's syndrome].
abstract: The authors present the case history of a 74-year-old male suffering from aortic coarctation. His endocrine evaluation was initiated because of severe hypokalemia. The diagnostic procedures revealed the presence of Cushing's syndrome caused by bilateral macronodular adrenal hyperplasia. Because of the high risk of surgical treatment due to his cardiac condition, the patient was treated with the steroid biosynthesis inhibitor ketoconazole, which resulted in a clinical and biochemical regression of hypercortisolism. After interventional treatment of the aortic coarctation the physical and cardiac condition of the patient showed a significant improvement, indicating that despite an old age, surgery offered a valuable tool for management of the disease. To the best knowledge of the authors, the coexistence of aortic coarctation and bilateral macronodular adrenal hyperplasia has not been previously reported. Orv. Hetil., 154(50), 1999-2002.
authors: Semmelweis Egyetem, Általános Orvostudományi Kar II. Belgyógyászati Klinika Budapest Zala Megyei Kórház Belgyógyászati Osztály Zalaegerszeg Zrínyi Miklós út 1. 8900.
authors: Gábor
authors: G
authors: Sohár
authors: Nikolette
authors: N
authors: Szücs
authors: Károly
authors: K
authors: Rácz
authors: Béla
authors: B
authors: Merkely
authors: Kálmán
authors: K
authors: Hüttl
authors: Pál
authors: P
authors: Sármán
authors: Andrea
authors: A
authors: Györkös
authors: Beáta
authors: B
authors: Gasztonyi
mesh_terms: D003480:Cushing Syndrome; D006801:Humans; D006965:Hyperplasia
keywords: Cushing-szindróma; Cushing’s syndrome; aortic coarctation; bilateral macronodular adrenal hyperplasia; bilateralis macronodularis mellékvesekéreg-hyperplasia; coarctatio aortae