Thursday, September 29, 2011

One After Another

The patient shown above, in his 20s, underwent surgery to remove both his adrenal glands.The symptoms shown above improve but then he develops the finding below a couple years after surgery.
Challenge: What is this syndrome? Why does it happen?

First image shown under Fair Use, second image shown under GNU Free Documentation License.


Anonymous said...

nelson's syndrome

sid said...

Nelson's Syndrome

jimmy said...

Pituitary adenoma

Craig Chen said...

very good!
One After Another

In Nelson’s syndrome, patients who undergo bilateral adrenalectomy for Cushing’s disease have resultant pituitary corticotroph tumor progression as the negative feedback from cortisol is removed. This particularly occurs if the patient did not receive pituitary irradiation.

Sources: UpToDate;; Wikipedia.