Reference Centers for the Management of Rare Endocrine Diseases

If you have the slightest doubt about a possible endocrine cause for the observed changes in appearance, it is recommended that you discuss it with your general practitioner and/or endocrinologist. If a diagnosis of acromegaly, Cushing’s syndrome or Addison’s disease is indicated, it is better to contact a (regional) competence center attached to a reference center for rare diseases, such as CRMR Hypo, which coordinates p.^r: Thierry Bruin in Marseille for acromegaly and adrenal CRMR (for Cushing’s disease), coordinated by P.^r: Jerome Berterat in Paris. This is the guarantee of multidisciplinary care and, if surgery is necessary, highly specialized surgeons.

Regarding acromegaly, “Approximately 99% of pituitary adenomas are operated on through the endonasal route, therefore through the nostril, because the pituitary gland is located in the sella turcica, which is at the level of the roof of the last sinus. explains P^r: Henri Dufour, a pituitary neurosurgeon at the Reference Center…