Osteoporosis as the First Sign of Cushing's Disease in a Thin 16-Year-Old Boy-A Case Report

J Clin Med. 2023 Sep 14;12(18):5967. doi: 10.3390/jcm12185967.

Abstract

Cushing's disease (CD) is an extremely rare diagnosis in children. In this report, we present the case of an almost 16-year-old, short and thin boy with CD, the first symptoms of which were spinal pain and vertebral fractures as a result of osteoporosis. In light of his growth retardation and short stature, the boy underwent diagnostics, which excluded growth hormone (GH) deficiency, hypothyroidism and celiac disease. Finally, based on cortisol profile results, dexamethasone suppression tests and bilateral sampling during catheterization of the inferior petrosal sinuses, CD was diagnosed.

Keywords: Cushing’s disease; growth retardation; obesity; osteoporosis.

Publication types

  • Case Reports

Grants and funding

This study was funded by statutory funds from the Medical University of Lodz, Lodz, Poland (503/1-107-03/503-11-001).