Seltene Ursache einer unzureichenden Stoffwechseleinstellung eines Diabetes mellitus – Fall 10/2011
K Dudziak, I Rettig, P Adam, M Horger, H P Neumann, K Müssig · DMW - Deutsche Medizinische Wochenschrift · 2011 · Heft 43 · S. 2196
Bibliografische Angaben
Zusammenfassung
Zusammenfassung HISTORY AND ADMISSION FINDINGS: A 48-year-old patient presented with an insufficient control of his diabetes mellitus which was known since 3 years. The antidiabetic medication comprised metformin and exenatide. INVESTIGATIONS: Physical examination revealed, beside elevated blood pressure, abdominal purple striae. Endocrine testing was consistent with ectopic Cushing’s syndrome. Abdominal CT showed a 5 cm measuring, inhomogeneous, contrast-enhanced mass in the right suprarenal area which was positive on iodine-131 MIBG SPECT. Furthermore, urinary catecholamines were markedly increased. DIAGNOSIS,…
