CushingÃ¢ÂÂs Syndrome Complicating Pregnancy
Ip Kar Hung*, Ng Hou and Tam Kuok Wa
Department of Internal Medicine, Centro Hospitalar Conde de São Januário (CHCSJ), Macau
- *Corresponding Author:
- Ip Kar Hung
Department of Internal Medicine
Centro Hospitalar Conde de São Januário (CHCSJ), Macau
E-mail: [email protected]
Received Date: December 03, 2016; Accepted Date: January 10, 2017; Published Date: January 16, 2017
Citation: Hung IK, Hou N, Wa TK (2017) Cushing’s Syndrome Complicating Pregnancy. J Clin Case Rep 7:911. doi: 10.4172/2165-7920.1000911
Copyright: © 2017 Hung IK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
To reveal Cushing’s syndrome in pregnancy is difficult since there are no worldwide consent guidelines for making a definitive diagnosis. Some advocate using urine free cortisol as more than four times the upper limit of normal or salivary cortisol is two to three times above. It is also difficult to evaluate the optimal time of surgical intervention because most cases are diagnosed at or beyond their second trimester. In the case describe below, the disease was being suspected because there was a lost circadian variation of serum cortisol, which could be a reasonable initiate test for clinical suspicious cases in our further practice.