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{
    "pk": 20780,
    "title": "Clinical Images in Emergency Medicine: Cushing’s Disease",
    "subtitle": null,
    "abstract": "<p><strong>Case Presentation: </strong>A 22-year-old female presented to the emergency department with a two-month history of worsening fatigue, unintentional weight gain, and progressive facial swelling. Physical examination findings included hirsutism, moon facies, and abdominal striae. Subsequent brain magnetic resonance imaging revealed the presence of a 2.4-centimeter pituitary macroadenoma, confirming the diagnosis of Cushing&rsquo;s disease. The patient was then admitted for neurosurgical tumor resection.</p>\n<p><strong>Discussion:</strong> Cushing&rsquo;s disease is exceedingly rare and often presents with symptoms resembling more prevalent disorders, contributing to delays in diagnosis. Therefore, maintaining a high index of suspicion for this disease is crucial for emergency physicians.</p>",
    "language": null,
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Cushing’s disease"
        },
        {
            "word": "Cushing syndrome"
        },
        {
            "word": "pituitary adenoma"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Images in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/16g630jx",
    "frozenauthors": [
        {
            "first_name": "Jason",
            "middle_name": "D.",
            "last_name": "Vadhan",
            "name_suffix": "",
            "institution": "UT Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas",
            "department": ""
        },
        {
            "first_name": "Nathaniel",
            "middle_name": "",
            "last_name": "Hansen",
            "name_suffix": "",
            "institution": "UT Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas",
            "department": ""
        },
        {
            "first_name": "Fernando",
            "middle_name": "L.",
            "last_name": "Benitez",
            "name_suffix": "",
            "institution": "UT Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas",
            "department": ""
        },
        {
            "first_name": "Larissa",
            "middle_name": "I.",
            "last_name": "Velez",
            "name_suffix": "",
            "institution": "UT Southwestern Medical Center, Department of Emergency Medicine, Dallas, Texas",
            "department": ""
        }
    ],
    "date_submitted": "2024-04-09T12:54:05.287000-04:00",
    "date_accepted": "2024-04-09T12:58:07.242000-04:00",
    "date_published": "2024-04-09T09:00:00-04:00",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/20780/galley/10543/download/"
    },
    "galleys": [
        {
            "label": "Final Article",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/20780/galley/10543/download/"
        }
    ]
}