Case Discussion AIMAH 22.07.1398

bilateral adrenal hyperplasia and subclinical hypercortisolism

• what’s the diagnosis?
• Are there any aberrant hormone receptors in this patient?
• Does the patient need to a surgery?
• Will we do in her follow up?
• Advances in imaging techniques raised the prevalence of AI to 4.4% in radiological series compared to autopsy data (1–8.7%)
• The prevalence is higher in patients with obesity, diabetes or hypertension and is increasing with age reaching 7–10% in individuals older than 70 years old
• Although the majority of AIs are unilateral tumors bilateral AIs are found in up to 15%
  of cases
• Thus, the prevalence of bilateral AI can be estimated to be 0.3–0.6% in the general population