title: [Arterial hypertension during pregnancy: Always preeclampsia?]
abstract: Cushing's syndrome is a rare condition during pregnancy, but it is associated with serious maternal and fetal complications. The most common etiology during pregnancy is the presence of an adrenocortical adenoma. Urinary free cortisol over 3 times the upper limit of normal usually indicates Cushing's syndrome during pregnancy. The treatment of choice is surgical, and the ideal time for surgery is before the third trimester.
authors.affiliation: Medicina Interna, Hospital Universitario Lozano Blesa, Zaragoza, España. Electronic address: isabeltorresc@yahoo.es.
authors.forename: I
authors.initials: I
authors.lastname: Torres-Courchoud
authors.affiliation: Medicina Interna, Hospital Universitario Lozano Blesa, Zaragoza, España.
authors.forename: V
authors.initials: V
authors.lastname: Alastrue-Del Castaño
authors.affiliation: Medicina Interna, Hospital Universitario Lozano Blesa, Zaragoza, España.
authors.forename: J
authors.initials: J
authors.lastname: Cebollada-Del Hoyo
authors.affiliation: Cirugía general, Hospital universitario Lozano Blesa de Zaragoza, España.
authors.forename: M A
authors.initials: MA
authors.lastname: Bielsa-Rodrigo
authors.affiliation: Endocrinología y Nutrición, Hospital universitario Lozano Blesa de Zaragoza, España.
authors.forename: M A
authors.initials: MA
authors.lastname: Sancho-Serrano
mesh_terms: D000236:Adenoma / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D002395:Catecholamines / Q000652:urine; D002585:Cesarean Section; D003480:Cushing Syndrome / Q000175:diagnosis* / Q000209:etiology / Q000652:urine; D016640:Diabetes, Gestational / Q000175:diagnosis; D003951:Diagnostic Errors; D017558:Elective Surgical Procedures; D004630:Emergencies; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000097:blood / Q000652:urine; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology*; D011225:Pre-Eclampsia / Q000175:diagnosis*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000209:etiology
chemical_list: D000959:Antihypertensive Agents; D002395:Catecholamines; D006854:Hydrocortisone
keywords: Adenoma suprarrenal; Adrenocortical adenoma; Cushing's syndrome; Embarazo; Hipertensión; Hipertensión secundaria; Hypertension; Pregnancy; Secondary hypertension; Síndrome de Cushing