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Cushing syndrome

Abdominal striae in pregnancy

From BMJ Case Reports 2011; doi:10.1136/bcr.01.2011.3720

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Cushing syndrome

Abdominal computed scan showing adrenocortical tumour infiltrating the pancreas and left kidney, and metastasised to the liver, spleen, and central nodes

From BMJ Case Reports 2010; doi:10.1136/bcr.07.2009.2100

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Cushing syndrome

Algorithm for the treatment of Cushing's disease (DST = dexamethasone suppression test. IPSS = inferior petrosal sinus sampling. ACTH = adrenocorticotrophic hormone. *Pituitary surgery should be performed by an experienced surgeon. †Absence of ACTH-staining adenoma. §Lifelong monitoring for hypopituitarism and secondary neoplasia in the radiation field required. ¶On maximum tolerated dose of the drug)

Fleseriu M et al. Lancet Diabetes Endocrinol. 2021 Dec;9(12):847-75; used with permission

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