Journal of Family Medicine and Primary Care

CASE REPORT
Year
: 2020  |  Volume : 9  |  Issue : 7  |  Page : 3759--3761

Lean Cushing's


Yashendu Sarda1, Damodar Shenoy1, Shrinath Shetty2, Sonali Ullal3, Sanyam Katyal3 
1 Department of Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
2 Department of Endocrinology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India
3 Department of Radiodiagnosis, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India

Correspondence Address:
Dr. Yashendu Sarda
Department of General Medicine, KMC Hospital, Attavar, Mangalore, Karnataka - 575001
India

This is a case report of 59 years old male with adrenocorticotropic hormone ACTH-independent macronodular adrenal hyperplasia (AIMAH), which is a rare cause of Cushing's syndrome. He was detected to have adrenal lesions incidentally on imaging. The biochemical evaluation was suggestive of endogenous ACTH-independent Cushing's syndrome. Contrast Enhanced CT of the abdomen done to characterize the lesion was suggestive of bilateral macro-nodular adrenal hyperplasia. There was no evidence of cushingoid features except for type 2 diabetes mellitus suggestive of subclinical Cushing's. He was not planned for any immediate medical/surgical management since metabolic control was achieved with oral anti-diabetics (OADs) and anti-hypertensive medications. He is on regular follow up with well-controlled sugars and blood pressure.


How to cite this article:
Sarda Y, Shenoy D, Shetty S, Ullal S, Katyal S. Lean Cushing's.J Family Med Prim Care 2020;9:3759-3761


How to cite this URL:
Sarda Y, Shenoy D, Shetty S, Ullal S, Katyal S. Lean Cushing's. J Family Med Prim Care [serial online] 2020 [cited 2020 Sep 30 ];9:3759-3761
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=7;spage=3759;epage=3761;aulast=Sarda;type=0