TY  - CHAP
M1  - Book, Section
TI  - Cushing Syndrome
A1  - Appachi, Elumalai
A2  - Usatine, Richard P.
A2  - Sabella, Camille
A2  - Smith, Mindy Ann
A2  - Mayeaux, E.J.
A2  - Chumley, Heidi S.
A2  - Appachi, Elumalai
Y1  - 2015
N1  - 
T2  - The Color Atlas of Pediatrics
AB  - A  21-month-old  girl  is  brought  to  the  pediatrician  for  a  routine  physical  examination.  The  mother  notes  that  the  child  has  recently  gained  an  excessive  amount  of  weight.  Examination  shows  an  obese  toddler  who  has  a  blood  pressure  of  130/90  mm  Hg.  The  linear  growth  is  noted  to  be  abnormal  and  her  weight  has  jumped  from  the  50th  percentile  at  the  last  visit  6  months  ago  to  above  the  90th  percentile.  The  girl  has  hirsutism  and  acne  on  the  forehead  (Figure  195-1).  Urinalysis  shows  glycosuria.  The  pediatrician  is  suspicious  for  hypercortisolism  and  refers  the  child  to  a  pediatric  endocrinologist.  A  dexamethasone  suppression  test  reveals  lack  of  suppression  of  cortisol,  consistent  with  Cushing  syndrome.  A  CT  scan  of  the  abdomen  reveals  an  adrenal  tumor,  which  is  surgically  resected  and  found  to  be  an  adrenal  adenoma.  The  girl  is  maintained  on  glucocorticoid  therapy  and  recovers.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1114879387
ER  -