A report of recurring pregnancy-induced Cushing's syndrome

Year 2020, Volume: 11 Issue: 1, 13 - 16, 10.09.2020

Mitra Niafar , Amir Bahrami Fatemeh Ghorbani Nasser Aghamohammadzadeh Vahideh Sadra Nader Nader Djalal

https://doi.org/10.33706/jemcr.633840

Cited By: 1

https://izlik.org/JA75UB25FW

Abstract

Introduction: The incidence of pregnancy-induced
Cushing's syndrome (CS) is very low. However, the diagnosis of CS in pregnant
patients is very difficult because of an overlapping signs and symptoms.

Case
report: Herein,
a 20-year-old pregnant patient was reported that was afflicted by gestational
CS during two pregnancies; termination of pregnancy was carried out in both
cases. Bilateral adrenal hypertrophy was reported in magnetic resonance
imaging. Following therapeutic abortion, signs of chemical evidence of CS was
thoroughly regressed within a few months after each abortion without any
treatment.

Conclusion: Due to the temporal relation between the
occurrence of CS after each pregnancy the diagnosis of gestational
hypercortisolism was made, and for further pregnancies bilateral adrenalectomy
was recommended.

Keywords

Cushing`s syndrome , pregnancy

Supporting Institution

Tabriz University of Medical Sciences, Tabriz, Iran

Thanks

Authors would like to acknowledge Dr. Nader Nader Djalal at Department of Anesthesiology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY 14203, USA for his great help.

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