Cushing's Syndrome in Childhood: Postoperative Management
| Autor: | Grant Db, Williams Di, G. H. Newns, S Raiti |
|---|---|
| Rok vydání: | 1972 |
| Předmět: |
Male
medicine.medical_specialty Hydrocortisone Urinary system Adrenal Gland Diseases Review Article Kidney Kidney Calculi Cushing syndrome Postoperative Complications Addison Disease Age Determination by Skeleton medicine Humans Child Cushing Syndrome Postoperative Care business.industry Virilization Infant Adrenal crisis Adrenalectomy medicine.disease Virilism Surgery Blood pressure Pancreatitis Child Preschool Hypertension Pediatrics Perinatology and Child Health Acute pancreatitis Female medicine.symptom business medicine.drug |
| Zdroj: | Archives of Disease in Childhood. 47:597-601 |
| ISSN: | 1468-2044 0003-9888 |
| DOI: | 10.1136/adc.47.254.597 |
| Popis: | Of 8 children with Cushing9s syndrome, 7 had tumours and 1 bilateral adrenal hyperplasia. All had hypertension; 5 cases also showed virilization; only 3 had short stature. All excreted raised urinary 17KS and 17OHCS. Pyelography showed displaced kidneys on the affected side in 5 cases. Early postoperative complications occurred in 4 cases. 2 patients developed adrenal crisis. In 1 patient the blood pressure rose to very high levels but subsequently fell to normal. The fourth patient developed severe hypertension and acute pancreatitis and died. One patient died from pneumonia 3½ years after operation. A scheme for postoperative replacement therapy with cortisol is given. |
| Databáze: | OpenAIRE |
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