Adrenal disease

Fatty Liver Disease Along Cushing Syndrome Evolution

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

We estimated the prevalence of hepatic steatosis at the diagnosis of Cushing syndrome at 26.5%. The presence of metabolic factors was associated with the occurrence of hepatic steatosis.

Study context

Population
Patients followed for CS with available abdominal imaging at diagnosis, Angers Hospital (France), 2010–2020
Participants
49 patients
Outcome
Prevalence of MASLD at diagnosis of CS (hepatic steatosis: mean liver/spleen density ratio < 1 on CT)
Follow-up
Diagnosis of CS
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Hepatic steatosis at diagnosis of CS

Hepatic steatosis

13

26.5%

All patients with hepatic steatosis had MASLD

13

Observational data: associations, not effects.

Further findings

Factors associated with hepatic steatosis

Higher prevalence of T2D and higher TG levels in patients with steatosis (multivariate analysis)
No difference according to intensity or duration of CS

Significant fibrosis predictive score among MASLD patients

Significant fibrosis predictive score (of 13 with MASLD)
2 (15.4%)

Steatosis after remission of CS · 1–5 years after remission

Remission of steatosis among 4 patients with follow-up imaging
3
Patients without MASLD at diagnosis with worsening liver/spleen ratio after remission
0

Original publication

Fatty Liver Disease Along Cushing Syndrome Evolution. J Clin Endocrinol Metab. Published 28 August 2024. doi:10.1210/clinem/dgae568

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