SciELO - Scientific Electronic Library Online

 
vol.78 issue4Mioma primario de la trompa de Falopio: una localización muy infrecuenteEspermicida y espermiostático: ¿hacen referencia a lo mismo? author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Revista chilena de obstetricia y ginecología

On-line version ISSN 0717-7526

Abstract

MOLGO N, Montserrat et al. Síndrome de Cushing durante el embarazo: manifestaciones cutáneas secundarias a un tumor suprarrenal. Rev. chil. obstet. ginecol. [online]. 2013, vol.78, n.4, pp.320-324. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262013000400013.

Cushing's syndrome secondary to adrenal tumor is a rare pathology in pregnancy. Its presence results in a significant increase in maternal and fetal morbimortality. Many of its clinical features are masked by the typical changes of a physiological pregnancy, which make difficult the diagnosis. Indeed, skin manifestations may be useful in early clinical suspicion. We report a case of a 26 year old in the second trimester with severe inflammatory acne and hirsutism. The pregnancy is interrupted at 35 weeks for pregnancy-induced hypertension syndrome and premature rupture ovular membranes. During the puerperium, patient consulted a dermatologist presenting still the injuries described, as well as thick purple striae throughout the abdomen, moon face, truncal obesity and purpuric macules in pressure zones. Cushing's syndrome is diagnosed. The study showed a cortex suprarenal adenoma. Laboratory diagnosis is difficult because the pregnancy physical changes and routine laboratory findings that can mimic the disease themselves. Dermatological findings may be valuable for diagnosis and early treatment. The skin lesions secondary to hypercortisolism were difficult to manage.

Keywords : Pregnancy; hirsutism; acne; Cushing syndrome; adrenal adenoma.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License