Purpose. To report a case of Cushing syndrome due to adrenocortical adenoma revealed by central serous chorioretinopathy. Methods. A 45-year-old man presented with blurred vision and metamorphopsia in the left eye. He reported few episodes of high blood pressure in the last 3 months. Results. Visual acuity was 20/40 in the left eye. Fundus oculi examination revealed central serous chorioretinopathy in the left eye. Grade 1 hypertension was found. Increased serum and urinary levels of cortisol and reduced serum levels of ACTH were observed. Diagnosis of Cushing syndrome was made. Computed tomography scan revealed a right adrenal mass that was surgically removed; histologic examination showed an adrenocortical adenoma. Three months after surgical treatment, visual acuity improved to 20/20 and central serous chorioretinopathy completely resolved. Conclusions. Central serous chorioretinopathy may be the presenting symptom of Cushing syndrome in a patient with adrenocortical adenoma. © 2011 Wichtig Editore.

Central serous chorioretinopathy as a presenting symptom of endogenous cushing syndrome: A case report / Ludovico, Iannetti; Giovanni, Spinucci; Francesca Romana, Pesci; Roberto, Vicinanza; Stigliano, Antonio; Pivetti, Paola. - In: EUROPEAN JOURNAL OF OPHTHALMOLOGY. - ISSN 1120-6721. - 21:5(2011), pp. 661-664. [10.5301/ejo.2011.6449]

Central serous chorioretinopathy as a presenting symptom of endogenous cushing syndrome: A case report

STIGLIANO, Antonio;PIVETTI, Paola
2011

Abstract

Purpose. To report a case of Cushing syndrome due to adrenocortical adenoma revealed by central serous chorioretinopathy. Methods. A 45-year-old man presented with blurred vision and metamorphopsia in the left eye. He reported few episodes of high blood pressure in the last 3 months. Results. Visual acuity was 20/40 in the left eye. Fundus oculi examination revealed central serous chorioretinopathy in the left eye. Grade 1 hypertension was found. Increased serum and urinary levels of cortisol and reduced serum levels of ACTH were observed. Diagnosis of Cushing syndrome was made. Computed tomography scan revealed a right adrenal mass that was surgically removed; histologic examination showed an adrenocortical adenoma. Three months after surgical treatment, visual acuity improved to 20/20 and central serous chorioretinopathy completely resolved. Conclusions. Central serous chorioretinopathy may be the presenting symptom of Cushing syndrome in a patient with adrenocortical adenoma. © 2011 Wichtig Editore.
2011
adrenocortical adenoma; central serous chorioretinopathy; cushing syndrome
01 Pubblicazione su rivista::01a Articolo in rivista
Central serous chorioretinopathy as a presenting symptom of endogenous cushing syndrome: A case report / Ludovico, Iannetti; Giovanni, Spinucci; Francesca Romana, Pesci; Roberto, Vicinanza; Stigliano, Antonio; Pivetti, Paola. - In: EUROPEAN JOURNAL OF OPHTHALMOLOGY. - ISSN 1120-6721. - 21:5(2011), pp. 661-664. [10.5301/ejo.2011.6449]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/354259
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