Centro     Hospitalar Conde de São Januário (CHCSJ), 
Macao						                            
                            
						
 Case Report
												Cushing’s Syndrome Complicating
  Pregnancy 						
Author(s): Ip Kar  Hung, Ng  Hou and Tam Kuok  WaIp Kar  Hung, Ng  Hou and Tam Kuok  Wa             
						
												
				 To reveal Cushing’s syndrome in pregnancy is difficult since there are no worldwide consent guidelines for making a definitive diagnosis. Some advocate using urine free cortisol as more than four times the upper limit of normal or salivary cortisol is two to three times above. It is also difficult to evaluate the optimal time of surgical intervention because most cases are diagnosed at or beyond their second trimester. In the case describe below, the disease was being suspected because there was a lost circadian variation of serum cortisol, which could be a reasonable initiate test for clinical suspicious cases in our further practice.
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												DOI:
												 10.4172/2165-7920.1000911 
																	  
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report