Clinical case seminar: Cushing's syndrome in an elderly woman with large thyroid and pituitary masses.

CLINICAL CASE SEMINAR An Unusual Pituitary Pathology

Achenbach's syndrome in an elderly woman

Achenbach's syndrome is a rare condition, but may be encountered in the primary care setting. The symptoms may be surprising to the patient and cause anxiety.

An elderly woman with 'Red Man Syndrome' in association with oral vancomycin therapy: a case report

INTRODUCTION 'Red Man Syndrome' is a recognized adverse reaction to intravenous vancomycin therapy. This case concerns an elderly woman who developed a 'Red Man Syndrome' reaction whilst on oral vancomycin therapy for Clostridium difficile (C difficile) diarrhoea. Isolated case reports exist recording this reaction in association with oral vancomycin therapy in patients with inflammatory bowel ...

Pituitary Radiotherapy for Cushings Disease

Background: The treatment of choice for Cushing’s disease is pituitary surgery. Second-line treatments include repeat pituitary surgery, radiation therapy, medical therapy, and bilateral adrenalectomy. The most used modalities to irradiate patients with Cushing’s disease include fractionated radiotherapy and single-dose Gamma Knife. We aim to review the efficacy and safety of radiotherapy in pa...

Pituitary Surgery for Cushings Disease

In this article, the present status of neurosurgical operations for Cushing’s disease is briefly reviewed. Transsphenoidal surgery is considered the treatment of choice in most patients with Cushing’s disease once the diagnosis has been established. In a considerable proportion of patients, even sophisticated imaging does not directly depict the tiny micro adenoma. The search for the tumor is t...