Adrenal insufficiency in a child following unilateral excision of a dual-hormone secreting phaeochromocytoma
| Autor: | Aiden Lee, Maria P. Stack, Paul L. Hofman, Benjamin J Wheeler, Annika Sjoeholm, Chaey Leem, Cassandra Li |
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| Rok vydání: | 2015 |
| Předmět: |
endocrine system
medicine.medical_specialty business.industry Endocrinology Diabetes and Metabolism Adrenalectomy medicine.medical_treatment Unique/Unexpected Symptoms or Presentations of a Disease medicine.disease Gastroenterology Surgery Lesion Internal medicine Concomitant Internal Medicine Adrenal insufficiency medicine Vomiting Palpitations medicine.symptom business Hormone Hydrocortisone medicine.drug |
| Zdroj: | Endocrinology, Diabetes & Metabolism Case Reports |
| ISSN: | 2052-0573 |
| DOI: | 10.1530/edm-15-0041 |
| Popis: | Summary Phaeochromocytomas are a rare clinical entity, with dual hormone-secreting lesions particularly uncommon, seen in Learning points Dual hormone secreting phaeochromocytomas with ACTH/or a precursor may cause secondary adrenal insufficiency following surgical removal. The concurrent features of Cushing's syndrome can be mild and easily overlooked presenting diagnostic and management pitfalls. As concomitant syndromes of hormone excess are rare in phaeochromocytomas; the diagnosis requires a high index of suspicion. Serial/diurnal cortisol levels, ACTH measurement +/− low dose dexamethasone suppression (when clinically stable, appropriate adrenergic blockade in place, and well supervised), can all be considered as needed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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