[Development of sarcoidosis after successful treatment of Cushing's disease].

Autor: Zakharova PA; Moscow Regional Research and Clinical Institute named after M.F. Vladimirsky., Ilovayskaya IA; Moscow Regional Research and Clinical Institute named after M.F. Vladimirsky., Terpigorev SA; National Medical and Surgical Center named after N.I. Pirogov., Komerdus IV; Moscow Regional Research and Clinical Institute named after M.F. Vladimirsky., Lugovskaya AY; Moscow Regional Research and Clinical Institute named after M.F. Vladimirsky.
Jazyk: ruština
Zdroj: Problemy endokrinologii [Probl Endokrinol (Mosk)] 2024 Jan 24; Vol. 69 (6), pp. 47-53. Date of Electronic Publication: 2024 Jan 24.
DOI: 10.14341/probl13203
Abstrakt: Cushing's disease is a rare severe neuroendocrine disorder caused by chronic overproduction of adrenocorticotropic hormone by a pituitary tumor. Supraphysiological concentrations of cortisol in endogenous hypercortisolism have an immunosuppressive and anti-inflammatory effect similar to therapy with systemic glucocorticosteroids. This may reduce the activity of the patient's concomitant autoimmune inflammatory diseases. On the other hand, a decrease in cortisol levels during treatment for Cushing's disease may be associated with a reactivation of the immune system that pose a risk of onset or recurrence of an autoimmune disorder. We present our own clinical case demonstrating the development of sarcoidosis after surgical treatment of Cushing's disease.
Databáze: MEDLINE