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. 2015:2015:980897.
doi: 10.1155/2015/980897. Epub 2015 Nov 16.

Cushing's Disease Presented by Reversible Dilated Cardiomyopathy

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Cushing's Disease Presented by Reversible Dilated Cardiomyopathy

Berna İmge Aydoğan et al. Case Rep Cardiol. 2015.

Abstract

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.

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Figures

Figure 1
Figure 1
Coronal and sagittal T1-weighted image, showing a 5 mm microadenoma at the left side of pituitary gland.

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