Review Note
Last Update: 10/05/2024 03:35 PM
Current Deck: PACES::Conditions
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Commit #165804
Management of Cushing's Syndrome
{{c1::
Exogenous
Gradual withdrawal of glucocorticoids
Endogenous
1) Cushing's disease (pituitary)
1st line: Trans-sphenoidal resection
Alternatives: Pituitary RT, Bilateral adrenalectomy + lifelong hormone replacement, Pharmacological (adrenal enzymes inhibitors e.g. ketoconazole, etomidate)
2) Ectopic ACTH/CRH
Surgical excision of tumour
3) Adrenal tumour
Adrenalectomy
}}