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Cushings Disease Presented by Reversible Dilated Cardiomyopathy

机译:可逆性扩张性心肌病表现的库欣病

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摘要

Introduction. Dilated cardiomyopathy is rarely reported among CS patients especially without hypertension and left ventricular hypertrophy. Materials and Methods. We hereby report a Cushing's syndrome case presenting with dilated cardiomyopathy. Results. A 48-year-old female patient was admitted to our clinic with severe proximal myopathy and dilated cardiomyopathy without ventricular hypertrophy. Cushing's disease was diagnosed and magnetic-resonance imaging of the pituitary gland revealed a microadenoma. Under diuretic and ketoconazole treatments, she underwent a successful transnasal/transsphenoidal adenomectomy procedure. Full recovery of symptoms and echocardiographic features was achieved after six months of surgery. Conclusion. Cushing's syndrome must be kept in mind as a reversible cause of dilated cardiomyopathy. Recovery of cardiomyopathy is achieved with successful surgery.
机译:介绍。在CS患者中很少报道扩张型心肌病,特别是没有高血压和左心室肥大的患者。材料和方法。我们在此报告库欣综合征合并扩张型心肌病的病例。结果。一名48岁的女性患者因严重的近端肌病和扩张型心肌病而没有心室肥大,被我们诊所收治。诊断为库欣氏病,脑垂体的磁共振成像显示微腺瘤。在利尿剂和酮康唑的治疗下,她成功进行了经鼻/经蝶窦腺切除术。手术六个月后,症状和超声心动图特征完全恢复。结论。库欣氏综合征必须牢记为扩张型心肌病的可逆原因。成功的手术可以使心肌病恢复。

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