Presentation
In contrast to that, the failure of the subthalamic nucleus or other external parts of the globus pallidus gives rise to a relative hyperactivity of the nigral neurons and presents as diseases like Huntington’s (pallidum) or ballism (subthalamic nucleus [flexikon.doccheck.com]
Clinical description The disease presents a bimodal age distribution with a rare subset presenting in the first years of life, particularly associated to McCune-Albright syndrome (MAS; see this term). [orpha.net]
CMC was present in all, HP in 12/15 (80 %) and AD in 8/15 (53 %) patients. [ncbi.nlm.nih.gov]
Depends on the course of the disease: acute stage: the patient presents with fever, back pain, hypotension, weakness chronic stage : progressive lethargy, weakness, cutaneous pigmentation, weight loss Laboratory data chemistry: hyponatremia, hyperkalemia [radiopaedia.org]
These two case reports highlight sudden death among patients with differing presentations of Cushing’s disease and syndrome. [intechopen.com]
Musculoskeletal
- Osteoporosis
A special type of scan that measures bone density is used to detect osteoporosis. See the separate leaflet called Osteoporosis for more details. [patient.info]
[…] the face, or thinning of the arms and legs increased fat accumulation behind the neck easy bruising unusual fatigue muscle weakness high blood pressure low blood potassium level high blood sugar depression irregular menstrual cycles sexual dysfunction osteoporosis [mskcc.org]
Untreated Cushing syndrome can lead to diabetes, high blood pressure, osteoporosis, and other health issues. When the adrenal glands produce too much aldosterone, blood pressure rises. [hormone.org]
Causes of Cushing's Syndrome Testing for Cushing's Syndrome Treatment of Cushing's Syndrome In 1932, a physician named Harvey Cushing described 8 patients with central body obesity, glucose intolerance, hypertension, excess hair growth, osteoporosis, [endocrineweb.com]
The clinical findings include thinning and bruising of the skin, obesity, diabetes, psychiatric disturbances, high blood pressure, muscle weakness, osteoporosis, excessive facial hair and irregular periods in women. [yourhormones.info]
Workup
The first step in the workup of a patient with suspected hyperaldosteronism is to confirm the diagnosis (see the image below). Diagnostic workup of hyperaldosteronism. [emedicine.medscape.com]
Anytime anyone presents with fatigue and low energy state, a complete cardiac, hormonal, hematological, oncological and metabolic workup is needed. When the result is normal and out of the box a different diagnosis needs to be considered. [drlam.com]
Pediatric Adrenal Insufficiency (Addison Disease) Workup. Medscape Reference. Available online at http://emedicine.medscape.com/article/919077-workup. Accessed February 2017. Johannsson G, et al. [labtestsonline.org]
Those with these symptoms deserve compassion, a thorough workup looking for recognized (but often overlooked) medical causes, and a thoughtful treatment plan. [verywell.com]
Treatment
Treatment of Cushing's Syndrome Obviously, the treatment of this disease depends on the cause. Pituitary tumors are usually removed surgically and often treated with radiation therapy. Neurosurgeons and some ENT surgeons specialize in these tumors. [endocrineweb.com]
What are the treatments for adrenal gland disorders? The treatment for adrenal gland disorders depends on the specific disorder or the specific cause of the disorder. For example: The treatment for Cushing’s Syndrome depends on the cause. [nursinglink.monster.com]
Management and treatment Treatment can be medical if aberrant adrenal receptors are identified and can be blocked (i.e. with propranolol, somatostatin or GnRH analogs). [orpha.net]
What are the treatments for adrenal gland disorders? BACK TO TOP [nichd.nih.gov]
Treatment may also include taking a medication that helps restore the body's level of sodium and potassium. [stanfordchildrens.org]
Prognosis
Prognosis Prognosis after treatment is good but quality of life may be affected due to the long-term effects of hypercortisolemia. Without treatment the disease is life-threatening as in the case of manifest hypercortisolism. [orpha.net]
[…] adrenalitis): enlargement of both adrenal glands, with necrotic centers and peripheral enhancing rims chronic : both adrenal glands appear small and atrophic, associated with calcifications ( adrenal calcification ) in granulomatous adrenalitis Treatment and prognosis [radiopaedia.org]
At present, genetic analysis in BrS has little to contribute to diagnosis, prognosis and therapeutic management, in contrast to long QT syndrome type 3.12 It does not yet appear to play an important role in risk stratification. [aerjournal.com]
In spite of treatment with sulphonamides, antibiotics, and steroids, the prognosis is still extremely poor. [intechopen.com]
[…] the consequence of including LQT3 patients who present with events in the first year of life with those who present with events at a later time.32 Indeed, the presence of a cardiac event in the first year of life is associated with an extremely poor prognosis [ahajournals.org]
Etiology
Etiology The exact etiology is unknown but the adrenal overgrowth seen in AIMAH may be due to the expression of aberrant membrane receptors found in the adrenal cortex that regulate cortisol secretion and which are stimulated by gastric inhibitory polypeptide [orpha.net]
Secondary adrenal insufficiency due to lack of stimulation of the gland is a more common etiology overall. [radiopaedia.org]
ETIOLOGY AND RISK FACTORS• Tuberculosis (TB) :TB is an infection which usually affects the lungs. [slideshare.net]
Treatment Treatment depends on the etiology of Cushing's syndrome. [glowm.com]
Depending on the etiologies of adrenal insufficiency, clinical manifestations may be severe or mild, have gradual or sudden onset, begin in infancy or childhood/adolescence. [raysahelian.com]
Epidemiology
Summary Epidemiology Prevalence of endogenous CS is estimated at 1/26,000 and AIMAH represents less than 1% of the cases. [orpha.net]
Pathophysiology
Its dopaminergic neurons communicate signals that are especially important for initiation of motion and its planning ("starting function"). 4 Pathophysiology A failure of the dopaminergic system gives rise to a loss of disinhibition of other parts of [flexikon.doccheck.com]
Despite intense research efforts, as documented by about 5,000 publications on BrS, controversies still exist over its pathophysiology, risk stratification and care. [aerjournal.com]
The main causes of sudden death due to adrenal gland pathology will be examined, paying particular attention to the pathophysiology of sudden death, macroscopic and microscopic characteristics and their correlation with clinical features. [intechopen.com]
Adrenal Glands: From Pathophysiology to Clinical Evidence. Nova Science Publishers, New York, NY. ISBN 978-1-63483-570-1. ^ "Adrenal gland". Medline Plus/Merriam-Webster Dictionary. Retrieved 11 February 2015. ^ a b c Ross M, Pawlina W (2011). [en.wikipedia.org]
Decreases in repolarizing outward K+ currents or increases in depolarizing inward sodium or calcium currents can lead to prolongation of the QT interval, thus representing a pathophysiological substrate for LQTS. [ahajournals.org]
Prevention
[…] depress the immune response, especially cell-mediated immune responses. [ Discussion of mechanism ] For this reason glucocorticoids are widely used in therapy: to reduce the inflammatory destruction of rheumatoid arthritis and other autoimmune diseases to prevent [biology-pages.info]
In the same year, Evans was able to prevent this by pituitary extraction. [endocrinesurgeon.co.uk]
These medications function through preventing your brain from signaling the nervous system to increase your heart rate and narrow your blood vessels. [tgp.com.ph]
There is no evidence that treatment can prevent this autoimmune attack, which may also affect other organs in the same person. [netdoctor.co.uk]
Destruction or removal of the pituitary has the opposite effect, stopping ACTH secretion, preventing stimulation of the adrenal cortex, and thus leading to adrenal failure. [daviddarling.info]