症狀/併發症(symptom/complication) | @obesity: 97% @cutaneous atrophy: 76% @hypertension: 75% @gonadal dysfunction @moon face: 89% @osteopenia @glucose intolerance: 70% @proximal muscles weakness @hirsutism多毛症 @psychiatric smptoms  資料來源：physio-pedia @ectopic ACTH syndrome may effect nail |
病因(etiology) | |
檢查/準則(examination/criteria) | #Dexamethasone suppression test: test from low dose to high dose, high dose will suppress #Inferior petrosal sinus sampling of ACTH: check is right or left adrenal gland, Sensitivity:97% Specificity:100%  資料來源：health-7 #late night salivary cortisol #胰島素耐受性試驗(Insulin tolerance test, ITT) |
治療(treatment) | $Transsphenoidal microsurgery $Radiotherapy drug $Ketoconazole: Inhibitors of adrenal steroidogensis $Mitotane: Inhibitors of adrenal steroidogensis |
鑑別診斷(Differential Diagnosis) | |
流行病學(Epidemiology) | +more common in children than adults +secondary functional pituitary tumor |
Tuesday, October 8, 2013
ACTH producing adenoma(ACTH製造腺瘤)/Cushing's disease(庫欣病)
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