Clinical and biochemical evaluation of Cushing's syndrome

被引:59
作者
Meier, CA
Biller, BMK
机构
[1] MASSACHUSETTS GEN HOSP, NEUROENDOCRINE UNIT, BOSTON, MA 02114 USA
[2] MASSACHUSETTS GEN HOSP, DIV ENDOCRINE, BOSTON, MA 02114 USA
[3] BRIGHAM & WOMENS HOSP, DIV GENET, BOSTON, MA 02115 USA
[4] HARVARD UNIV, SCH MED, BOSTON, MA USA
关键词
D O I
10.1016/S0889-8529(05)70280-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The diagnosis and differential diagnosis of Cushing's syndrome remain a clinical challenge. This article summarizes the clinical features of Cushing's syndrome and critically reviews the various endocrine tests utilized for screening, diagnosis, and localization. Special consideration is given to several novel tests based on the administration of corticotropin-releasing hormone. The role of imaging and inferior petrosal sinus catheterization is discussed within the context of a general algorithm proposed for evaluating patients with suspected Cushing's syndrome.
引用
收藏
页码:741 / +
页数:24
相关论文
共 63 条
[11]   CUSHINGS-SYNDROME - REVIEW OF DIAGNOSTIC-TESTS [J].
CRAPO, L .
METABOLISM-CLINICAL AND EXPERIMENTAL, 1979, 28 (09) :955-977
[12]  
DEHERDER WW, 1994, CLIN ENDOCRINOL, V40, P87
[13]   SOMATOSTATIN RECEPTOR SCINTIGRAPHY - ITS VALUE IN TUMOR-LOCALIZATION IN PATIENTS WITH CUSHINGS-SYNDROME CAUSED BY ECTOPIC CORTICOTROPIN OR CORTICOTROPIN-RELEASING HORMONE-SECRETION [J].
DEHERDER, WW ;
KRENNING, EP ;
MALCHOFF, CD ;
HOFLAND, LJ ;
REUBI, JC ;
KWEKKEBOOM, DJ ;
OEI, HY ;
POLS, HAP ;
BRUINING, HA ;
NOBELS, FRE ;
LAMBERTS, SWJ .
AMERICAN JOURNAL OF MEDICINE, 1994, 96 (04) :305-312
[14]   A COMPARISON OF THE STANDARD HIGH-DOSE DEXAMETHASONE SUPPRESSION TEST AND THE OVERNIGHT 8-MG DEXAMETHASONE SUPPRESSION TEST FOR THE DIFFERENTIAL-DIAGNOSIS OF ADRENOCORTICOTROPIN-DEPENDENT CUSHINGS-SYNDROME [J].
DICHEK, HL ;
NIEMAN, LK ;
OLDFIELD, EH ;
PASS, HI ;
MALLEY, JD ;
CUTLER, GB .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1994, 78 (02) :418-422
[15]  
DOPPMAN JL, 1987, SURGERY, V102, P1018
[16]   DETECTION OF ACTH-PRODUCING BRONCHIAL CARCINOID-TUMORS - MR IMAGING VS CT [J].
DOPPMAN, JL ;
PASS, HI ;
NIEMAN, LK ;
FINDLING, JW ;
DWYER, AJ ;
FEUERSTEIN, IM ;
LING, A ;
TRAVIS, WD ;
CUTLER, GB ;
CHROUSOS, GP ;
LORIAUX, DL .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1991, 156 (01) :39-43
[17]   ECTOPIC ADRENOCORTICOTROPIC HORMONE SYNDROME - LOCALIZATION STUDIES IN 28 PATIENTS [J].
DOPPMAN, JL ;
NIEMAN, L ;
MILLER, DL ;
PASS, HI ;
CHANG, R ;
CUTLER, GB ;
SCHAAF, M ;
CHROUSOS, GP ;
NORTON, JA ;
ZIESSMAN, HA ;
OLDFIELD, EH ;
LORIAUX, DL .
RADIOLOGY, 1989, 172 (01) :115-124
[18]   GADOLINIUM DTPA ENHANCED MR IMAGING OF ACTH-SECRETING MICROADENOMAS OF THE PITUITARY-GLAND [J].
DOPPMAN, JL ;
FRANK, JA ;
DWYER, AJ ;
OLDFIELD, EH ;
MILLER, DL ;
NIEMAN, LK ;
CHROUSOS, GP ;
CUTLER, GB ;
LORIAUX, DL .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1988, 12 (05) :728-735
[19]   PITUITARY-ADENOMAS IN PATIENTS WITH CUSHING DISEASE - INITIAL EXPERIENCE WITH GD-DTPA-ENHANCED MR IMAGING [J].
DWYER, AJ ;
FRANK, JA ;
DOPPMAN, JL ;
OLDFIELD, EH ;
HICKEY, AM ;
CUTLER, GB ;
LORIAUX, DL ;
SCHIABLE, TF .
RADIOLOGY, 1987, 163 (02) :421-426
[20]   ROUTINE INFERIOR PETROSAL SINUS SAMPLING IN THE DIFFERENTIAL-DIAGNOSIS OF ADRENOCORTICOTROPIN (ACTH)-DEPENDENT CUSHINGS-SYNDROME - EARLY RECOGNITION OF THE OCCULT ECTOPIC ACTH SYNDROME [J].
FINDLING, JW ;
KEHOE, ME ;
SHAKER, JL ;
RAFF, H .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1991, 73 (02) :408-413