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.
Thursday, September 29, 2011
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4 comments:
nelson's syndrome
Nelson's Syndrome
Pituitary adenoma
very good!
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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; depts.washington.edu; Wikipedia.
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