Kubel M, Schwerdtner U
Z Gesamte Inn Med. 1975 Apr 1;30(7):282-8.
On account of the increasing number of patients with essential obesity the delimitation of the Cushing-syndrome is of actual importance. Two observations of hypercortisolism in hyperplasia of the adrenal glands are reported on and the differential-diagnostically important parameters are demonstrated. According to our opinion anamnesis and clinical findings give the possibility of making a diagnosis already on a large scale. Analyses of the hormones and special X-ray examinations only serve for the preoperative ascertainment and localisation of the endocrine defective function. With the help of literary data causes and possibilities of treatment of Cushing's syndrome are entered.
鉴于原发性肥胖患者数量不断增加,库欣综合征的鉴别诊断具有现实意义。本文报告了两例肾上腺增生伴皮质醇增多症的病例,并展示了具有鉴别诊断重要意义的参数。我们认为,病史和临床检查结果在很大程度上已具备做出诊断的可能性。激素分析和特殊X线检查仅用于术前确定内分泌功能缺陷及定位。借助文献资料,探讨了库欣综合征的病因及治疗方法。