Korean J Med.
2001 Sep;61(3):270-275.
A case of adrenal adenoma with concurrent Cushing's syndrome and hyperaldosteronism
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 2Department of Diagnostic Radiology Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 3Department of General Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 4Department of Anatomy, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- Cushing's syndrome is produced by the hypersecretion of adrenal glucocorticoids and is characterized by moon face, central obesity, disappearance of diurnal variation of plasma cortisol and unsuppressibility of plasma cortisol by low-dose dexamethasone. On the other hand, hyperaldosteronism is produced by the hypersecretion of aldosterone and is characterized by hypertension and hypokalemia. We report a rare case of adrenal adenoma with concurrent hypercortisolism and hyperaldosteronism manifestated with hypertension, cushingoid appearance, left adrenal mass with low-normal plasma potassium. Laparoscopic unilateral tumor excision was performed and hypertension disappeared after the operation.
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