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जर्नल फ़्लायर
एक्सेस जर्नल खोलें
- अभियांत्रिकी
- आनुवंशिकी एवं आण्विक जीवविज्ञान
- इम्यूनोलॉजी और माइक्रोबायोलॉजी
- औषधि विज्ञान
- कृषि और जलकृषि
- चिकित्सीय विज्ञान
- जीव रसायन
- जैव सूचना विज्ञान और सिस्टम जीवविज्ञान
- तंत्रिका विज्ञान और मनोविज्ञान
- नर्सिंग एवं स्वास्थ्य देखभाल
- नैदानिक विज्ञान
- पदार्थ विज्ञान
- पर्यावरण विज्ञान
- पशु चिकित्सा विज्ञान
- भोजन एवं पोषण
- रसायन विज्ञान
- व्यवसाय प्रबंधन
- सामान्य विज्ञान
अमूर्त
Adrenocorticotropic Hormone (ACTH) Independent Cushing’s Syndrome Presenting as Hypertension in the Young: A Case Report from Kumasi, Ghana
Prince Yaw Boahene, Solomon Gyabaah, Prince Addo Ameyaw, Lisa Annabelle Agyei- Mensah
The endogenous cause of Cushing’s syndrome is very rare with an incidence of 0.7–2.4 per million population per year. Diagnosis of this syndrome may pose a challenge on the clinician for the fact that it is rare and also shares many features with the more common condition metabolic syndrome. We present the case of a 31 year old overweight male with no known chronic disease presenting with abdominal pain, moon face, striae, acne and hypertension. A post dexamethasone suppression cortisol level was >1750 nmol/l. The ACTH levels were 1 pg/ml which was below the lower limit of the reference range. An abdominal CT scan showed a well-defined enhancing mass arising from the lateral limb of the left adrenal gland measuring 2.6 × 2.1 cm with features consistent with an adrenal adenoma. Patient was treated with eplerenone, ketoconazole, hydralazine and losartan and he is currently doing well.