ea0019p191 | Endocrine tumours and neoplasia | SFEBES2009
Gheorghiu ML
, Chirita C
, Coculescu M
Pituitary apoplexy in patients with Nelsons syndrome has rarely been described. We report the case of a 33-year-old woman with a history of bilateral adrenalectomy for Cushings disease three years previously. Following adrenalectomy, despite adequate replacement therapy with prednisone and fludrocortisone, she became hyperpigmented, morning serum ACTH level rose from 185 to over 1250 pg/ml (normal range 1060) and the pituitary tumour increased from 0.8/0.3 to...