KROK 1 2009 – Question 86 · KROK (Medicine) · Pathomorphology

A patient with android-type obesity had been suffering from arterial hypertension, hyperglycemia, glycosuria for a long time and died from the cerebral haemorrhage. Pathologic examination revealed pituitary basophil adenoma, adrenal cortex hyperplasia. What is the most likely diagnosis?

  1. A. Adiposogenital dystrophy
  2. B. Pituitary nanism
  3. C. Diabetes mellitus
  4. D. Itsenko-Cushing’s syndrome
  5. E. Acromegalia
Hint

Combine truncal obesity, hypertension and glucose intolerance with a pituitary basophil adenoma and adrenocortical hyperplasia, and ask which hormonal axis is overactive.

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