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Published on: January 27, 2015
Static lung volumes in patients with Cushing's disease
A D Azezli1, T Bayraktaroglu, T Ece
1Department of Internal Medicine, Division of Endocrinology and Metabolism, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
Insights
Pulmonary function tests, including spirometry, were normal in patients with Cushing's disease (CD). This study found no significant lung volume or ventilatory performance disturbances in active CD.
Area of Science:
- Endocrinology
- Pulmonology
- Internal Medicine
Background:
- Cushing's syndrome presents with diverse clinical manifestations.
- Pulmonary function data in Cushing's disease (CD) are notably absent.
- This study addresses the gap in understanding respiratory function in CD.
Purpose of the Study:
- To assess pulmonary function tests, specifically spirometry, in patients with active Cushing's disease.
- To evaluate lung volumes and ventilatory performance in individuals with endogenous hypercortisolism.
Main Methods:
- A cross-sectional study involving 10 patients diagnosed with active Cushing's disease.
- Spirometry was performed to measure forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), FEV1/FVC ratio, and FEF 25-75%.
Main Results:
- No spirometric abnormalities were detected in the study cohort.
- No significant differences were observed when comparing patient values to reference values.
- Disease duration and cortisol levels showed negative correlations with specific spirometry parameters.
Conclusions:
- Lung volumes and ventilatory performance, as assessed by spirometry, are not impaired in patients with Cushing's disease.
- Endogenous hypercortisolism in CD does not appear to significantly affect standard pulmonary function measures.
Objective:
Numerous clinical manifestations have been described in association with Cushing's syndrome. There are no eligible data on pulmonary function tests in Cushing's disease (CD). We aimed to asses pulmonary function tests including spirometry in a series of patients with active CD.
Materials And Methods:
This cross-sectional study comprised 10 patients with Cushing's disease (F/M, 9/1). The forced expiratory volume in 1st second (FEV1), the forced vital capacity (FVC), the FEV1/FVC ratio and the forced expiratory flow over the middle half of the FVC (FEF 25-75%) values and predicted values were determined by spirometry.
Results:
Mean age, height, weight, body mass index were 36.7+/-12.6 yrs (range 22-63 years), 156.9+/-8.4 cm, 74.1+/-10.7 kg, 29.6+/-3.8 kg/m(2), respectively. Spirometric abnormalities (impairment of FEV1, FVC, FEV1/FVC and FEF 25-75 values) were not detected, and there were no significant differences compared to reference values. Disease duration and cortisol concentrations by HDDSTs were negatively correlated with predicted FEV1/FVC values and the percentage of predicted FEV1 ratios, respectively.
Discussion:
The lung volume and ventilatory performance by spirometry were not disturbed in patients with endogenous hypercostisolism due to Cushing's disease.
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