title: Adrenal venous sampling in a patient with adrenal Cushing syndrome.
abstract: The primary bilateral macronodular adrenal hyperplasia or the independent adrenocorticotropic hormone bilateral nodular adrenal hyperplasia is a rare cause hypercortisolism, its diagnosis is challenging and there is no clear way to decide the best therapeutic approach. Adrenal venous sampling is commonly used to distinguish the source of hormonal production in patients with primary hyperaldosteronism. It could be a useful tool in this context because it might provide information to guide the treatment. We report the case of a patient with ACTH independent Cushing syndrome in whom the use of adrenal venous sampling with some modifications radically modified the treatment and allowed the diagnosis of a macronodular adrenal hyperplasia.
authors: Médico Internista Endocrinólogo. Sección de Endocrinología, Departamento de Medicina Interna. Hospital Pablo Tobón Uribe - Universidad de Antioquia. Medellin, Colombia.
authors: Carlos Esteban
authors: CE
authors: Builes-Montaño
authors: Médico Internista. Departamento de Medicina Interna, Hospital Pablo Tobón Uribe. Medellin, Colombia.
authors: Carlos Andrés
authors: CA
authors: Villa-Franco
authors: Residente de Endocrinología. Sección de Endocrinología, Departamento de Medicina Interna. Universidad de Antioquia. Medellin, Colombia.
authors: Alejandro
authors: A
authors: Román-Gonzalez
authors: Patólogo. Departamento de Patología. Hospital Pablo Tobón Uribe. Medellin, Colombia.
authors: Alejandro
authors: A
authors: Velez-Hoyos
authors: Médico Radiólogo Intervencionista. Departamento de Radiología. Hospital Pablo Tobón Uribe. Medellin, Colombia.
authors: Santiago
authors: S
authors: Echeverri-Isaza
mesh_terms: D000311:Adrenal Glands / Q000473:pathology*; D000324:Adrenocorticotropic Hormone / Q000097:blood*; D000368:Aged; D003480:Cushing Syndrome / Q000175:diagnosis* / Q000473:pathology; D005260:Female; D006801:Humans
chemical_list: D000324:Adrenocorticotropic Hormone
keywords: Cushing syndrome; adrenal cortex diseases; adrenal cortex function Tests