Cushing's Syndrome Missed in Pregnancy.

Cureus

Department of Endocrinology and Metabolism, Eastbourne District General Hospital, East Sussex Healthcare NHS Trust, Eastbourne, GBR.

Published: October 2024

AI Article Synopsis

  • Cushing's syndrome (CS) is rare in pregnancy and can be hard to identify because its symptoms are similar to those of normal pregnancy, as demonstrated in a case involving a 26-year-old woman.* -
  • The patient initially presented with gestational diabetes and pre-eclampsia; after delivery, ongoing hypertension and facial swelling led to her diagnosis of CS.* -
  • Successful treatment through laparoscopic adrenalectomy normalized her blood pressure, emphasizing the need for awareness of CS in pregnant women with gestational diabetes and hypertension to prevent complications.*

Article Abstract

Cushing's syndrome (CS) is uncommon during pregnancy and often difficult to diagnose due to similar symptoms shared with normal pregnancy. This case report discusses a 26-year-old woman who developed CS while pregnant, underlining the importance of early detection and the diagnostic challenges involved. The patient presented with gestational diabetes and pre-eclampsia during pregnancy. Post delivery, she continued to experience hypertension and facial swelling, which led to a diagnosis of CS. The patient underwent a successful laparoscopic adrenalectomy, which normalized her blood pressure and improved her symptoms. This case highlights the need for heightened awareness of CS in pregnant women exhibiting both gestational diabetes and hypertension, as early diagnosis and treatment are essential to reduce maternofoetal complications.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11456285PMC
http://dx.doi.org/10.7759/cureus.70930DOI Listing

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