Document Detail


Spontaneous remission of ectopic Cushing's syndrome due to pheochromocytoma: a case report.
MedLine Citation:
PMID:  8921826     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A young female adult with Cushing's syndrome arising from ectopic production of corticotropin (ACTH) from an adrenal pheochromocytoma showed spontaneous clinical and biochemical remission of hypercortisolism after a brief period of ketoconazole administration. Despite continued remission of the hypercortisolism over the next 18 months, there was progressive catecholamine hypersecretion with significant morbidity as a result of the pheochromocytoma. Surgical resection of the left adrenal gland revealed a pheochromocytoma showing focal cytoplasmic immunostaining for ACTH and marked diffuse compact cell hyperplasia in the adrenocortical tissue. To our knowledge this is the first reported case of spontaneous clinical and biochemical remission of ectopic ACTH production from a pheochromocytoma. The pathogenesis of the remission remains unknown.
Authors:
K C Loh; R Gupta; A H Shlossberg
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of endocrinology / European Federation of Endocrine Societies     Volume:  135     ISSN:  0804-4643     ISO Abbreviation:  Eur. J. Endocrinol.     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1996-12-30     Completed Date:  1996-12-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9423848     Medline TA:  Eur J Endocrinol     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  440-3     Citation Subset:  IM    
Affiliation:
Division of Endocrinology and Metabolism, Dalhousie University, Halifax, Canada.
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MeSH Terms
Descriptor/Qualifier:
ACTH Syndrome, Ectopic / etiology*
Adrenal Gland Neoplasms / complications*,  pathology,  radiography
Adult
Cushing Syndrome / etiology*,  physiopathology*
Female
Humans
Pheochromocytoma / complications*,  pathology,  radiography
Remission, Spontaneous
Tomography, X-Ray Computed

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


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