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Inconsistent stimulation of plasma ACTH through corticotropin-releasing factor in a patient with central Cushing's disease due to pituitary adenoma
Authors:B Rohrmoser  D K Lüdecke  P C Scriba
Institution:(1) Klinik für Innere Medizin Medizinische Hochschule Lübeck, Germany;(2) Neurochirurgische Abteilung Universitätskrankenhaus Hamburg, Germany
Abstract:Summary Three uncommon findings were observed in a case of Cushing's disease due to macroadenoma: no suppression of plasma ACTH during an 8-mg dexamethasone test, a negative corticotropin-releasing factor test, and a normal X-ray of the sella turcica. Despite these findings, the diagnosis of pituitary was confirmed Cushing's syndrome by computerized tomography and a transphenoidal operation.Abbreviations CRF corticotropin releasing factor - CD Cushing's disease - CS Cushing's syndrome - CT computerized tomography - GH growth hormone - FSH follicle-stimulating hormone - LH luteinizing hormone - LH-RH luteinizing hormone releasing hormone
Keywords:Corticotropin-releasing factor (CRF)  Cushing's disease  ACTH
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