Redman J F, Faas F H
Am J Med. 1976 Oct;61(4):533-6. doi: 10.1016/0002-9343(76)90333-8.
A patient with Cushing's syndrome and a concomitant unilateral adrenal hemorrhage following ACTH administration is described. Although stress is commonly associated with the onset of adrenal hemorrhage, a pathologically documented adrenal hemorrhage has not been previously in association with ACTH administration in Cushing's syndrome. Repeated doses of ACTH should not be given to patients with Cushing's syndrome as this has little diagnostic value and may lead to adrenal hemorrhage in such patients.
本文描述了一名患有库欣综合征的患者，在给予促肾上腺皮质激素（ACTH）后出现了单侧肾上腺出血。尽管应激通常与肾上腺出血的发生有关，但此前尚未有病理记录的肾上腺出血与库欣综合征患者使用ACTH相关的报道。不应给库欣综合征患者重复使用ACTH，因为这几乎没有诊断价值，且可能导致此类患者发生肾上腺出血。
