Usefulness and Limitations of Unilateral Adrenalectomy for ACTH-independent Macronodular Adrenal Hyperplasia in a Patient with Poor Glycemic Control
スポンサーリンク
概要
- 論文の詳細を見る
Adrenocorticotropic hormone (ACTH)-independent macronodular adrenal hyperplasia (AIMAH) is a rare disease which causes Cushing's syndrome. Bilateral adrenalectomy has been recommended as the treatment of choice for AIMAH. However, bilaterally adrenalectomized patients require lifelong steroid replacement therapy. Therefore, an increasing number of patients have undergone unilateral adrenalectomy for AIMAH. We report a case of AIMAH due to refractory diabetes in whom unilateral adrenalectomy initially yielded good diabetes control, but in whom poor glycemic control developed after 5 years, requiring eventual additional contralateral adrenalectomy. In elderly patients with AIMAH, one-stage bilateral adrenalectomy may be the treatment of choice.
著者
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Sakai Hiroyuki
Division of Cardiology, Tokai University School of Medicine
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Kanazawa Akira
Division of Applied Bioscience, Graduate School of Agriculture, Hokkaido University
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Namiki Kazunori
Department Of Urolgoy Tokyo Medical University
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Odawara Masato
Division Of Diabetes Metabolism And Endocrinology Third Department Of Internal Medicine Tokyo Medica
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Miwa Takashi
Division Of Diabetes Metabolism And Endocrinology Third Department Of Internal Medicine Tokyo Medica
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Kobayashi Takaaki
Division Of Diabetes Metabolism And Endocrinology Third Department Of Internal Medicine Tokyo Medical University
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NAGAO Toshitaka
Department of Anatomic Pathology, Tokyo Medical University
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Kobayashi Takaaki
Division of Diabetes, Metabolism and Endocrinology, The Third Department of Internal Medicine, Tokyo Medical University, Japan
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Kan Kenshi
Division of Diabetes, Metabolism and Endocrinology, The Third Department of Internal Medicine, Tokyo Medical University, Japan
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Takeda Misato
Division of Diabetes, Metabolism and Endocrinology, The Third Department of Internal Medicine, Tokyo Medical University, Japan
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Tanaka Akihiko
Internal Medicine, Toda Chuo General Hospital, Japan
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Odawara Masato
Division of Diabetes, Metabolism and Endocrinology, The Third Department of Internal Medicine, Tokyo Medical University, Japan
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Miwa Takashi
Division of Diabetes, Metabolism and Endocrinology, The Third Department of Internal Medicine, Tokyo Medical University, Japan
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