Somatization Symptom and Steroid Myopathy in Cushing Syndrome with Adrenal Adenoma: A case report.

, Kim, Young Bum; , Hwang, Ji Hye; , Kim, Jun Seok; , Lee, Chang Hyung; , Kwon, Jung Yi

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(4):486-489.

Kim, Young Bum , Hwang, Ji Hye , Kim, Jun Seok , Lee, Chang Hyung , Kwon, Jung Yi

Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. hwanglee@skku.edu

부신선종에 의한 쿠싱증후군에서 신체화 증상과 스테로이드 근육병증 −증례 보고−

김영범, 황지혜, 김준석, 이창형, 권정이

성균관대학교 의과대학 삼성서울병원 재활의학교실

Abstract

We experienced musculoskeletal pain by somatization symptom and steroid myopathy in Cushing syndrome (adrenal adenoma) and hereby report this case. A 53-year old woman visited to clinic with chief complain of severe sole pain and tingling sensation (VAS 8.0) and multiple arthralgia (VAS 6.0) since 3 years ago. On examination, she showed severe depressive mood disorder, weakness of proximal limbs and other features of Cushing syndrome. The electromyelographic findings showed atypical type of myopathy without peripheral polyneuropathy. On laboratory examination, overnight and low dose dexamethasone suppression test was positive. The adrenal CT showed finding of left adrenal adenoma. After diagnosed of Cushing syndrome, laparoscopic adrenalectomy was done. The patient's severe pain and tingling sensation were immediately improved (VAS 3.0) concurrently with improvement of depressive mood following surgery. We concluded that the pain was originated from somatization symptom. (J Korean Acad Rehab Med 2010; 34: 486-489)

Key Words: Cushing syndrome, Myopathy, Somatization