Zhang Ning, Wei Yuchen, Qu Xuan, Kang Lin, Liu Xiaohong
Department of Geriatrics, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, CHN.
Department of Endocrinology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, CHN.
Cureus. 2024 Jun 27;16(6):e63277. doi: 10.7759/cureus.63277. eCollection 2024 Jun.
Cushing's disease (CD) is a rare and serious condition characterized by a persistent increase in cortisol levels, resulting in various complications across multiple bodily systems. Elderly individuals often face a multitude of chronic illnesses and geriatric syndromes, which can complicate the diagnosis and treatment of CD in this demographic. This case study details the presentation of an elderly patient with adrenocorticotropic hormone (ACTH)-dependent CD, who initially presented with an acute exacerbation of chronic obstructive pulmonary disease. The article delves into the unique onset characteristics and treatment strategies for CD in the elderly, providing valuable insights for the comprehensive management of similar clinical cases.
库欣病(CD)是一种罕见且严重的病症,其特征为皮质醇水平持续升高,会导致多个身体系统出现各种并发症。老年人常面临多种慢性疾病和老年综合征,这会使该人群中CD的诊断和治疗变得复杂。本病例研究详细介绍了一名患有促肾上腺皮质激素(ACTH)依赖性CD的老年患者的情况,该患者最初表现为慢性阻塞性肺疾病急性加重。本文深入探讨了老年人CD的独特发病特征和治疗策略,为类似临床病例的综合管理提供了有价值的见解。