Evidence map›Paper›PMID 38475883›Full record

ArticleEndocrinology, diabetes & metabolism2024

Cushing's Syndrome in Pregnancy Secondary to Adrenocortical Adenoma: A Case Series and Review.

Yan Wang, Yufen An, Xiaomei Hou, Yanan Xu, Zhen Li, Xin Liu, Fumin Zheng, Mingze Sun, Rendong Han, Caixia Lu and 2 more

Open access · goldAbstract read
In one paragraph

Article in Endocrinology, diabetes & metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Yan WangDepartment of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.ORCID 0009-0001-2381-2680
Yufen AnDepartment of Pathology, The Affiliated Hospital of Qingdao University, Qingdao, China.
Xiaomei HouDepartment of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Yanan XuDepartment of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Zhen LiDepartment of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Xin LiuDepartment of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Fumin ZhengDepartment of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Mingze SunDepartment of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Rendong HanDepartment of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Caixia LuDepartment of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Jing LiDepartment of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Jun ZhouDepartment of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, China.
Qingdao University · CN

Funding

Clinical Medicine +X Scientific Research Project of the Affiliated Hospital of Qingdao University QDFY+X202101047Natural Science Foundation of Shandong Province ZR2022MH324
6 · The paper itself

Abstract

purposeTo present a case series of Cushing's syndrome (CS) during pregnancy caused by adrenocortical adenomas, highlighting clinical features, hormonal assessments and outcomes.

methodsWe describe five pregnant women with CS, detailing clinical presentations and laboratory findings.

resultsCommon clinical features included a full moon face, buffalo back and severe hypertension. Elevated blood cortisol levels with circadian rhythm disruption and suppressed adrenocorticotrophic hormone (ACTH) levels were observed. Imaging revealed unilateral adrenal tumours. Two cases underwent laparoscopic adrenalectomies during the second trimester, while three had postpartum surgery. All required hormone replacement therapy, with postoperative pathological confirmation of adrenocortical adenomas.

conclusionDiagnosis of CS during pregnancy is challenging due to overlapping features with normal pregnancy: elevated blood cortisol levels and abnormal diurnal rhythm of blood cortisol, suppressed aid diagnosis. Treatment should be individualised due to a lack of explicit optimum therapeutic approaches. Laparoscopic adrenalectomy may be an optimal choice, along with multidisciplinary management including hormone replacement therapy.

Indexed as

Adrenocortical AdenomaCushing SyndromeAdrenalectomyFemaleHumansHydrocortisonePregnancyHydrocortisoneadrenocortical adenomaCushing's syndromepregnancy

Identifiers

PMID38475883
PMCPMC10933386
OpenAlexW4392768132

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.