Indonesian Journal of Clinical Pathology and Medical Laboratory
ISSN 0854-4263
Vol. 12 / No. 1 / Published : 2005-11
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Original Article :
Cushing syndrome in pregnancy
Author :
- Yetti Hernaningsih*1
- Sidarti Soehita*2
- Bagian Patologi Klinik Fakultas Kedokteran Unair/RSU Dr.Soetomo Surabaya
- Bagian Patologi Klinik Fakultas Kedokteran Unair/RSU Dr.Soetomo Surabaya
Abstract :
A 32 years old woman, pregnant 24-25 weeks, was admitted to the hospital with complaints of weakness, 6 years amenorrhoe,bruises on the skin and hair loss. Physical examination showed full moon face, buffalo hump, striae lividae, and echymosis.She was diagnosed as Cushing Syndrome with possible etiology adrenal tumor based on laboratory results: glucose intolerance,hypokalemia, increament of plasma cortisol before and after dexamethason supression tests (1352 and 1297 nmol/l), also decreementof plasma ACTH (5 pg/ml). During 22 days hospitalization, the patient’s condition became worse (heart failure, sepsis and shock)
Keyword :
cushing syndrome, cortisol, ACTH,
References :
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Abraham,(2003) Adrenal Disease and Pregnancy. http://www.emedicine.com/med/topic3266.htm, last updated:January 29. - : -
Demers,(2001) Adrenocortical Function. In:Burtis CA, Ashwood ER (eds). Tietz Fundamentals of Clinical Chemistry, 5th ed. Philadelphia : W.B. Saunders Company
Whitley,(2001) Adrenocortical Function. In:Burtis CA, Ashwood ER (eds). Tietz Fundamentals of Clinical Chemistry, 5th ed. Philadelphia : W.B. Saunders Company
Findling,(2001) Diagnosis and Differential Diagnosis of Cushing’s Syndrome. Endocrinology and Metabolism Clinics 30(3). - : -
Raff,(2001) Diagnosis and Differential Diagnosis of Cushing’s Syndrome. Endocrinology and Metabolism Clinics 30(3). - : -
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Fawcett,(2002) Hypertensive Endocrine Disorders. C
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