Pituitary Cyclic Cushing's Syndrome Concomitant with Solitary Cryptococcal Pneumonia Confused with Ectopic ACTH-producing Tumor
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概要
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A 47-year-old man with Cushingoid appearance was admitted to our hospital showing excessive secretion of cortisol at intervals of a few days. Cyclic Cushing's disease was confirmed. Two years earlier, results of hormonal assessment had been within normal limits and macroadenoma had been incidentally detected in the pituitary. Dexamethasone suppression testing revealed various responses and a small lung tumor was detected, therefore his condition was misinterpreted as ectopic ACTH-producing tumor or pituitary cyclical Cushing's disease, leading to lung resection that confirmed cryptococcal pneumonia. The pituitary tumor was finally identified as the cause of cyclic Cushing's syndrome and fully removed, allowing remission.
- 社団法人 日本内科学会の論文
著者
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Yamagami Keiko
Department Of Endocrinology And Metabolism Osaka City General Hospital
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Yoshioka Katsunobu
Department Of Endocrinology And Metabolism Osaka City General Hospital
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Miyashita Tomoko
Department Of Forensic Medicine Wakayama Medical University
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Iwai Yoshiyasu
Department Of Endocrinology And Metabolism Osaka City General Hospital
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Inoue Takeshi
Department Of Animal Husbandry Faculty Of Agriculture Tohoku University
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Hosoi Masayuki
Department of Diabetes and Endocrinology, Osaka City General Hospital, Japan
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Iwai Yoshiyasu
Department of Neurosurgery, Osaka City General Hospital, Japan
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