A rare case of multiple pituitary adenomas in an adolescent Cushing disease presenting as a vertebral compression fracture
Cushing disease in children and adolescents, especially with multiple pituitary adenomas (MPAs), is very rare. We report 17-year-old boy with MPAs. He presented with a vertebral compression fracture, weight gain, short stature, headache, and hypertension. On magnetic resonance imaging (MRI), only a...
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| Main Authors: | , , , , , , , , |
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| Format: | Book |
| Published: |
Korean Society of Pediatric Endocrinology,
2017-09-01T00:00:00Z.
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| Summary: | Cushing disease in children and adolescents, especially with multiple pituitary adenomas (MPAs), is very rare. We report 17-year-old boy with MPAs. He presented with a vertebral compression fracture, weight gain, short stature, headache, and hypertension. On magnetic resonance imaging (MRI), only a left pituitary microadenoma was found. After surgery, transient clinical improvement was observed but headache and hypertension were observed again after 3 months later. Follow-up MRI showed a newly developed right pituitary microadenoma 6 months after the surgery. The need for careful clinical and radiographic follow-up should be emphasized in the search for potential MPAs in patients with persistent Cushing disease. |
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| Item Description: | 2287-1012 2287-1292 10.6065/apem.2017.22.3.197 |