Skip to main content

Table 2 Summary of pregnancy induced CS cases

From: Pregnancy induced Cushing’s syndrome and primary aldosteronism: a case report

Case

Presentation

Therapy and Imaging

Outcome

Kasperlik-Zaluska 2000 [1]

Hypertension (190/110 mmHg), muscular atrophy, purple striae, hirsutism, hypokalemia at 16 weeks

None described

Cesarean section 24th week due placental abruption, postpartum lab values normal after 4 weeks

Kasperlik-Zaluska 2000 [1]

Similar features with elevated UFC at 16 weeks

None described

Cesarean section 25th week due to placental abruption, postpartum lab values normal after 3 months

Kasperlik-Zaluska 2000 [1]

Elevated UFC at 5 weeks, no symptoms

Metyrapone 0.75 g daily until 17 weeks, then increased to 1 gram due to increasing cortisol

Cesarean section at 32nd week due to placental abruption, normalization of lab values beginning at 2 weeks postpartum

Close 1993 [5]

Elevated cortisol, UFC and CS at 23 weeks

Bilateral adrenal hyperplasia in CT, Metyrapone

Cesarean section at 34 weeks by growth retardation, normal lab values at 4 weeks postpartum

Andreescu 2017 [6]

Purple striae, bruising, hypertension (165/90 mmHg), mild hypokalemia, proteinuria at 32 weeks, elevated UFC

Enalapril 40 mg daily Labetalol 600 mg daily

CT: 3.8 cm Adenoma, LH receptor positive (immunohistochemical examination)

Induction of Labor at 35 weeks, Adrenalectomy and hydrocortisone replacement 4 months postpartum

Andreescu 2017 [6]

Hypertension (140/86 mmHg), purple striae, hirsutism, diabetes mellitus

Labetalol 400 mg daily

MRI: 3.3 cm Adenoma, LH receptor positive (immunohistochemical examination)

Spontaneous labor and vaginal delivery 38 weeks, Adrenalectomy and hydrocortisone around 4 months postpartum

Andreescu 2017 [6]

Gestational diabetes, depression, hirsutism, bruising

Paroxetine 20 mg daily

CT: 3.4 cm Adenoma (no immunohistochemical examination performed)

Spontaneous labor and vaginal delivery at 38 weeks, Adrenalectomy and hydrocortisone 6 months postpartum