Document Detail


Cushing syndrome in an infant due to cortisol secreting adrenal pheochromocytoma: a rare association.
MedLine Citation:
PMID:  20662337     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Adrenocortical tumors are the most common cause of endogenous Cushing syndrome in infancy and early childhood. Cushing syndrome resulting from ectopic adrenocorticotrophic hormone (ACTH) producing tumor has been infrequently reported in adults. Cortisol secreting pheochromocytoma is rarely reported in literature. We report an eleven month old child presenting to us as Cushing syndrome with hypertension due to left adrenal tumor. He was treated with antihypertensives and left adrenalectomy was done under perioperative glucocorticoid coverage. Diagnosis of pheochromocytoma was made only after histopathology. Despite the rare association of Cushing syndrome and pheochromocytoma, preoperative diagnosis of pheochromocytoma is required for appropriate perioperative medical and anaesthetic management to prevent life threatening complications.
Authors:
Manish Kumar; Vishal Kumar; B Talukdar; Anup Mohta; Nita Khurana
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric endocrinology & metabolism : JPEM     Volume:  23     ISSN:  0334-018X     ISO Abbreviation:  J. Pediatr. Endocrinol. Metab.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-28     Completed Date:  2010-08-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9508900     Medline TA:  J Pediatr Endocrinol Metab     Country:  England    
Other Details:
Languages:  eng     Pagination:  621-5     Citation Subset:  IM    
Affiliation:
Department of Pediatrics and Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Geeta Colony, India. manishkp75@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adrenal Gland Neoplasms / blood,  complications*
Adrenal Glands / metabolism,  pathology
Adrenalectomy
Calcium / administration & dosage
Combined Modality Therapy
Cushing Syndrome / etiology*,  pathology,  therapy
Enalapril / therapeutic use
Humans
Hydrocortisone / blood*
Hypertension / blood,  etiology,  pathology
Infant
Male
Pheochromocytoma / blood,  complications*
Prednisolone / therapeutic use
Thyroxine / therapeutic use
Treatment Outcome
Chemical
Reg. No./Substance:
50-23-7/Hydrocortisone; 50-24-8/Prednisolone; 7440-70-2/Calcium; 7488-70-2/Thyroxine; 75847-73-3/Enalapril

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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