ACTH-Independent Macronodular Hyperplasia: Unusual Case of Cushing’s Syndrome
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Abstract
61-year-old woman, smoker, with a history of diabetes mellitus, osteoporosis and centripetal obesity, was hospitalized after an acute hypertensive crisis, with blood pressure values of about 180/120 mmHg. Physical examination was unremarkable. Lab investigations showed cortisol level of 108 ng/ml after Liddle test and 48 ng/ml after Nugent test, 2.46 ng/ml of salivary cortisol, 10 pg/ml of ACTH and 6.11 of the potassium.
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