{"id":236,"date":"2017-09-22T09:17:16","date_gmt":"2017-09-22T00:17:16","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=236"},"modified":"2017-09-22T09:17:16","modified_gmt":"2017-09-22T00:17:16","slug":"mksap-quiz-evaluation-for-amenorrhea-of-4-months-duration","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=236","title":{"rendered":"MKSAP quiz: Evaluation for amenorrhea of 4 months&#8217; duration &#8230;"},"content":{"rendered":"<p>ACP Japan Chapter Facebook page\u306bMKSAP\u30af\u30a4\u30ba\u304c\u63b2\u8f09\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>The<strong> most common<\/strong> cause of Cushing syndrome is an elevated level of cortisol resulting from both endogenous and exogenous exposure to glucocorticoids. \u3068\u3044\u3046\u4e8b\u3067\u3059\u304c\u3001exogenous exposure\u306e\u983b\u5ea6\u306f\u793a\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u307e\u3041\u3001\u526f\u814e\u76ae\u8cea\u30b9\u30c6\u30ed\u30a4\u30c9\u306e\u4f7f\u308f\u308c\u65b9\u304c\u591a\u5c90\u96d1\u591a\u3067\u3001\u3042\u307e\u308a\u3044\u3044\u96c6\u8a08\u65b9\u6cd5\u304c\u306a\u3044\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n<table width=\"446\">\n<tbody>\n<tr>\n<td colspan=\"2\" width=\"446\">Table 25. Common Causes of Cushing Syndrome<\/td>\n<\/tr>\n<tr>\n<td width=\"256\">cause<\/td>\n<td style=\"text-align: center;\" width=\"190\">percentage of Patients with endogenous Cushing syndrome<\/td>\n<\/tr>\n<tr>\n<td width=\"256\">ACTH-dependent<\/td>\n<td style=\"text-align: center;\" width=\"190\">75-80<\/td>\n<\/tr>\n<tr>\n<td width=\"256\">ACTH-secreting pituitary adenomas<\/td>\n<td style=\"text-align: center;\" width=\"190\">60-65<\/td>\n<\/tr>\n<tr>\n<td width=\"256\">Ectopic ACTH secretion by tumors<\/td>\n<td style=\"text-align: center;\" width=\"190\">15-10<\/td>\n<\/tr>\n<tr>\n<td width=\"256\">CRH-secreting tumors<\/td>\n<td style=\"text-align: center;\" width=\"190\">&lt;0.5<\/td>\n<\/tr>\n<tr>\n<td width=\"256\">ACTH-independent<\/td>\n<td style=\"text-align: center;\" width=\"190\">20-25<\/td>\n<\/tr>\n<tr>\n<td width=\"256\">Adrenal adenoma<\/td>\n<td style=\"text-align: center;\" width=\"190\">15-10<\/td>\n<\/tr>\n<tr>\n<td width=\"256\">Adrenal carcinoma<\/td>\n<td style=\"text-align: center;\" width=\"190\">10-5<\/td>\n<\/tr>\n<tr>\n<td width=\"256\"><\/td>\n<td width=\"190\"><\/td>\n<\/tr>\n<tr>\n<td width=\"256\">Exogenous Cushing syndrome<\/td>\n<td width=\"190\"><\/td>\n<\/tr>\n<tr>\n<td width=\"256\">Administration of corticosteroids<\/td>\n<td width=\"190\"><\/td>\n<\/tr>\n<tr>\n<td width=\"256\">Administration of drug with corticosteroid activity (progestational agents, such as megestrol acetate)<\/td>\n<td width=\"190\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><iframe loading=\"lazy\" style=\"border: currentColor; overflow: hidden;\" src=\"https:\/\/www.facebook.com\/plugins\/post.php?href=https%3A%2F%2Fwww.facebook.com%2FACP.Japan.Chapter%2Fposts%2F1644068392322353&amp;width=500\" width=\"500\" height=\"374\" frameborder=\"0\" scrolling=\"no\"><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>ACP Japan Chapter Facebook page\u306bMKSAP\u30af\u30a4\u30ba\u304c\u63b2\u8f09\u3055\u308c\u307e\u3057\u305f\u3002 The most common cause of Cushing syndrome is an elevated lev&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6,4],"tags":[],"class_list":["post-236","post","type-post","status-publish","format-standard","hentry","category-acp","category-science"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p9b6zl-3O","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/236","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=236"}],"version-history":[{"count":0,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=\/wp\/v2\/posts\/236\/revisions"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=236"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=236"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/~OIO\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=236"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}