KMID : 0356620110260040348
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Journal of Korean Society of Endocrinology 2011 Volume.26 No. 4 p.348 ~ p.354
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A Case of Cushing¡¯s Disease in Pregnancy
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Kim Jung-Tae
Seong Mun-Hyuk Park Woo-Ri Han Joung-Ho Han Hye-Sook Sim Young-Kwang Oh Tae-Geun Jeon Hwang-Gyun
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Abstract
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Developing Cushing¡¯s syndrome during pregnancy is rare because menstruation is irregular and hypercortisolism causes infertility. Developing Cushing¡¯s disease during pregnancy is very rare because there is even less ovulation than those with the adrenal adenoma. The clinical manifestations of Cushing¡¯s syndrome may easily be missed during pregnancy as the features of weight gain, hypertension, and hyperglycemia overlap with those that occur during a pregnancy. Diagnosing Cushing¡¯s syndrome during a pregnancy is complex because the biochemical features are obscured by the natural changes in the hypothalamic-pituitary-adrenal axis that occur during pregnancy. Having Cushing¡¯s syndrome during a pregnancy results in increased fetal and maternal complications, so early diagnosis and treatment are critical. We report the clinical and endocrine findings of a pregnant women with Cushing¡¯s disease who underwent transsphenoidal surgery after delivery.
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KEYWORD
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Cushing¡¯s disease, Cushing¡¯s syndrome, Pregnancy
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