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Michio Otsuki
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Professor and Division head |
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| Article types | Case report |
| Language | English |
| Peer review | Peer reviewed |
| Title | Oral Contraceptive Disturbedthe Recovery of the Adrenal Function after Adrenalectomy in Cushing Syndrome: A Case Report |
| Journal | Formal name：Internal Medicine Abbreviation：Intern Med ISSN code：09182918 |
| Domestic / Foregin | Domestic |
| Volume, Issue, Page | 60,pp.901-903 |
| Author and coauthor | Okuno, Y. Kawata, S. Shimizu, Y. Mukai, K. Otsuki, M. Shimomura, I. |
| Authorship | Corresponding author |
| Publication date | 2020 |
| Summary | Estrogen is known to increase exogenous corticosteroid levels. In this case, a 27-year-old Japanese woman was referred to our hospital for examination of an adrenal tumor and was diagnosed with Cushing syndrome. Resection of the tumor resulted in secondary adrenal insufficiency. She also developed microcytic anemia due to hypermenorrhea, which was masked by Cushing syndrome. An oral contraceptive was administered for the treatment of hypermenorrhea, but this led to a marked increase in serum cortisol and the reduction of plasma ACTH, disturbing the recovery of the adrenal function. Attention is required when oral contraceptives are used to treat hypermenorrhea masked by Cushing syndrome. |
| DOI | 10.2169/internalmedicine.5462-20 |
| Document No. | 33055479 |