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Related Concept Videos

Cushing Syndrome I: Introduction01:26

Cushing Syndrome I: Introduction

Cushing syndrome refers to the collection of clinical manifestations that arise when tissues are exposed to excessive amounts of cortisol or cortisol-like medications over an extended period. Cortisol, a glucocorticoid produced by the adrenal cortex, regulates metabolism, immune responses, and the body’s adaptation to stress. When its concentration remains chronically elevated, these physiological pathways become dysregulated, resulting in the characteristic features of the syndrome.Exogenous...
Cushing Syndrome II: Pathophysiology01:19

Cushing Syndrome II: Pathophysiology

Cortisol production is normally governed by the hypothalamic–pituitary–adrenal (HPA) axis, which maintains hormonal balance through tightly regulated feedback mechanisms. Disruption of this regulatory system is central to the development of Cushing syndrome, whether the excess cortisol originates from external medications or internal pathology. Persistent cortisol elevation alters metabolism, immune function, and endocrine signaling, producing the characteristic clinical features of the...
Adrenal Gland Disorders01:27

Adrenal Gland Disorders

Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Hypoglycemia and Glucagon01:15

Hypoglycemia and Glucagon

Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
Hyperthyroidism II: Pathophysiology01:27

Hyperthyroidism II: Pathophysiology

Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH receptors...
Hyperthyroidism I: Introduction01:25

Hyperthyroidism I: Introduction

Hyperthyroidism is a type of thyrotoxicosis characterized by the thyroid gland's overproduction of the thyroid hormones triiodothyronine (T3) and thyroxine (T4). This hormone excess increases the basal metabolic rate and enhances sensitivity to catecholamines.DiagnosisDiagnosis is based on clinical features and biochemical testing. It typically shows suppressed thyroid-stimulating hormone (TSH) levels below 0.4 mIU/L, with elevated free T3 and/or T4. Additional tests, including thyroid...

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A Novel Method: Super-selective Adrenal Venous Sampling
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[Cushing's syndrome: special issues].

María José Goñi Iriarte1

  • 1Servicio de Endocrinología, Hospital de Navarra, Pamplona, Navarra, Spain. mgoniiri@cfnavarra.es

Endocrinologia Y Nutricion : Organo De La Sociedad Espanola De Endocrinologia Y Nutricion
|July 25, 2009
PubMed
Summary

This review covers adrenal hyperplasia and Cushing's syndrome, differentiating subclinical and preclinical forms. It highlights the rarity of Cushing's syndrome in children and pregnancy, with specific causes and incidence rates.

Area of Science:

  • Endocrinology
  • Adrenal Gland Disorders
  • Hormone Imbalance

Background:

  • Reviews adrenal hyperplasia, including bilateral macronodular and micronodular types.
  • Discusses subclinical Cushing's syndrome, distinguishing it from preclinical forms.
  • Addresses the low incidence of Cushing's syndrome in pediatric populations and pregnancy.

Purpose of the Study:

  • To provide a comprehensive overview of adrenal hyperplasia and Cushing's syndrome.
  • To clarify diagnostic distinctions between subclinical and preclinical Cushing's syndrome.
  • To summarize current knowledge on pediatric and pregnancy-related Cushing's syndrome.

Main Methods:

  • Literature review and synthesis of existing research.
  • Analysis of diagnostic criteria for adrenal hyperplasia and Cushing's syndrome.

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  • Examination of epidemiological data for specific patient groups.
  • Main Results:

    • Corticotrophin (ACTH)-independent bilateral macronodular adrenal hyperplasia involves aberrant adrenal receptors.
    • Subclinical Cushing's syndrome is characterized by autonomous cortisol production without overt symptoms.
    • ACTH-dependent Cushing's disease is the primary cause in children over 7 years old.

    Conclusions:

    • Accurate differentiation of subclinical Cushing's syndrome is crucial for patient management.
    • Cushing's syndrome is rare in children, with specific etiological factors.
    • Pregnancy with Cushing's syndrome is uncommon but documented, requiring careful monitoring.