Which clinical history findings are characteristic of excess adrenocorticotropic hormone in hyperpituitarism?

Updated: Oct 24, 2016
  • Author: Alicia Diaz-Thomas, MD, MPH; Chief Editor: Robert P Hoffman, MD  more...
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Answer

The most sensitive indicator of excess glucocorticoid secretion in children is weight gain with concurrent growth failure, which generally precedes other manifestations.

Patients commonly present with weight gain that tends to be generalized rather than centripetal.

Hirsutism and premature adrenarche may occur in prepubertal children.

Hypertension may be present.

Pubertal arrest, acne, fatigue, and depression are also common.

Snoring, poor sleep quality, deteriorating academic performance (compared with prior school terms), or other signs of obstructive sleep apnea (OSA) should prompt a formal sleep study and consultation with a pulmonologist.


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