ACTH-dependent Cushing's Syndrome: Diagnostic Pitfalls in Concomitant Non-secreting Pituitary Adenomas

  • Pietro Lucotti First Department of Medicine, IRCCS Fondazione Policlinico San Matteo, Pavia
  • Cesare Zoia Neurosurgery Department, IRCCS Fondazione Policlinico San Matteo, Pavia
  • Elisabetta Lovati First Department of Medicine, IRCCS Fondazione Policlinico San Matteo, Pavia
  • Paolo Gaetani Neurosurgery Department, IRCCS Fondazione Policlinico San Matteo, Pavia
  • Gino Roberto Corazza First Department of Medicine, IRCCS Fondazione Policlinico San Matteo, Pavia

Keywords

Ectopic ACTH-dependent Cushing's syndrome

Abstract

Objectives: To describe the possible pitfalls in correctly interpreting clinical, radiological and biochemical findings in ACTH-dependent Cushing's syndrome.
Methods: We describe a case of a pituitary adenoma visualized at MRI not correlated with an ACTH-dependent Cushing’s syndrome.
Results: Radiological imaging and hormonal testing can be misleading in suspected pituitary ACTH-related Cushing’s syndrome.
Conclusion: Correct interpretation of the initial clinical presentation can help in the proper diagnosis and treatment of ACTH-dependent Cushing’s syndrome.

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  • Published: 2016-04-12

    Issue: Vol 3 No 3 (view)

    Section: Articles

    How to cite:
    Lucotti, P., Zoia, C., Lovati, E., Gaetani, P., & Corazza, G. (2016). ACTH-dependent Cushing’s Syndrome: Diagnostic Pitfalls in Concomitant Non-secreting Pituitary Adenomas. European Journal of Case Reports in Internal Medicine, 3(3). https://doi.org/https://doi.org/10.12890/2016_000389