CmUp07-2209062216@
#1:Chronic hypercordizolaemia inducing moonface,centralobese or other characteristics of hypercordizolaemia.
Incidentally found adrenaltumor without charateristic syndromes also exists.
classification: ACTH dependent or non dependent tumors as a pituitary tumor ,extopic lesion. ACTH non dependent ones including adrenocortical tumor, adrenocortical hyperplasia also exist.GIP-hypersensitivity(food dependent) or excessed appearing of betha receptors(catecholamine dependent)
also exists as special adrenal lesion.
#2:monnface,centralobese,ecchimosis,acnes,thinning or expanded stripes of skin,monopausal abnormality,atrophy of proximal muscles,hypertension and osteoporosis
#3:Hypokalaemia,wbc increasing,eosino- and lymphocytes reducing,DM,hyperlipidaemaemia
adrenal CT adnoma:oval,lidge smooth ,diffusely inhalts and no obvious contrasted image-effects
#4:1 hyperexcretion of cortizol(17-OHCS in urine high) 2 abnormality of negative feedback of cortizole(curadian valiation of cordizol disappear) 3 depression of ACTH secretion (ACTH low or non responce of ACTH with CRH loading test. Pathology: encapsured oval figure and atrophic normal tissue of cortex.
#6 unirateral adrenectomy with steroid refilling (adreno-pituitary function improving gradually) If refilling failed ,appear exhausting,abdominal pain,hypotension,hypoglycemia.
exist with imaging technics. others: excessive alcoholic drinking, Depression,simple obesity