Resolved question:
I have hypothyroidism and polycystic ovaries .
by august 2012 until now I've taken 25kgs and keep taking .
i use t4 150mg , glucophage 850mg and yasmin.
i am diagnosed with pituitary cushing's disease acth dependant .
there is no tumor shown in the mri.
i eat very healthy and exercise every day.
for 4 years old patientnow i can't find a solution to my problem.
i have gone to endocrinologists and neurologists.
i also have acne, if i don't take birth control pills i don't have period, i am very tired all day every day, it's difficult to move, i have anxiety.
doctors suggested to take metyropone until the tumor is shown and also remove both the adrenal glands.
what do you suggest?
Submitted:
4 Days
Category:
Endocrinologist
Hello,
Thank you for your query at DoctorSpring.com
I have gone through your query and I understand your concern.
You do have Cushings Disease with no obvious pituitary source of ACTH.
There doesn't seem to be any ectopic source of ACTH which needs further ruling out with a CECT Scan chest and Abdomen. Can you get that done and follow up?
Pasireotide is a new drug which can be used to treat cases like yours. Do consult an endocrinologist for the same.
Feel free to discuss further.
pasireotide causes diabetes so i don't want to take this. do you think that removing the adrenal glands will rull out Csuhing's disease?
Yes, removing adrenals will definitely help curing Cushing disease.
I have cushing's disease for 4 years old patientnow . When do you believe that the pituitary tumor will show in the mri?
There is no such prediction that can be done. Such tumors are very small and may grow very gradually or remain undetected.