UNLABELLED To report the puzzling, rare occurrence of coexisting adrenal insufficiency and Cushing's syndrome from chronic, intermittent use of intranasal betamethasone spray. A 62-year-old male was referred to our endocrinology clinic for management of adrenal insufficiency. This previously healthy individual began to experience chronic sinus symptoms in 2007, was treated with multiple ensuing...

Cushing syndrome is rare in infancy and usually due to an adrenocortical tumor (ACT). We report an infant with Cushing syndrome due to adrenocortical carcinoma. The patient presented at six months of age with a three-month history of growth failure, rapid weight gain, acne, and irritability. Physical examination showed obesity, hypertension, and Cushingoid features. Biochemical evaluation showe...

adrenocortical carcinomas (acc) is an uncommon disease that accounts for only 0.02% of all cancers. herein, this study evaluates a case of adult acc with extension into the inferior vena cava and cushingoid features. a 67-year-old lady was admitted to the surgery service for surgical resection of adrenal mass which was found on hypertension work-up. on physical examination, she was fat, cushing...

We report a case of a 35-year-old lady who presented with Cushingoid features and associated raised urinary metanephrine. The patient underwent open adrenelectomy. Histopathological examination revealed adreno-cortical carcinoma with microscopic lymphovascular invasion. Postoperative period was uneventful and is on follow-up for the last one year and is doing well.

A 69-year-old woman presented with a four-week history of facial and bilateral leg swelling. She also described symptoms of proximal myopathy. Her past medical history included osteoporosis and osteoarthritis. Routine medication was a weekly bisphosphonate, aspirin and St John’s Wort. Clinical examination identified bilateral pitting oedema to the knees and Cushingoid facies. Her blood pressure...

A 16 year old female, was referred by the neuro-physician for evaluation and management of decrease visual acuity in left eye papilledema, she diagnosed Benign Idiopathic Intracranial Hypertension. She under treatment 4 years papilledema. Visual 6/6 right 1/60 eye. Slit lamp examination normal. Fundoscopy showed lumpy appearances optic nerve heads with vessels macula normal, both eyes. Her B sc...