Source:http://linkedlifedata.com/resource/pubmed/id/20558857
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2010-6-18
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pubmed:abstractText |
We present an atypical case of Cushing's syndrome caused by ectopic adrenocorticotropic hormone (ACTH) secretion in a patient with a metastasised adenocarcinoma of the oesophagus. After chemotherapy and surgery the patient developed generalised oedema, hyperpigmentation and dysphagia. Laboratory tests showed hypokalaemia, normal urinary potassium, increased 24-hour urinary free cortisol excretion and serum ACTH within the normal reference range. The diagnosis of ACTH-dependent Cushing's syndrome was made, most probably caused by ectopic production of ACTH. In addition to combined chemotherapy, treatment with ketoconazole sufficiently reduced urinary cortisol excretion and relieved the symptoms.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1872-9061
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
68
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
265-7
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pubmed:meshHeading |
pubmed-meshheading:20558857-ACTH Syndrome, Ectopic,
pubmed-meshheading:20558857-Adenocarcinoma,
pubmed-meshheading:20558857-Adrenocorticotropic Hormone,
pubmed-meshheading:20558857-Cushing Syndrome,
pubmed-meshheading:20558857-Esophageal Neoplasms,
pubmed-meshheading:20558857-Humans,
pubmed-meshheading:20558857-Male,
pubmed-meshheading:20558857-Middle Aged
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pubmed:year |
2010
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pubmed:articleTitle |
Atypical Cushing's syndrome caused by ectopic ACTH secretion of an oesophageal adenocarcinoma.
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pubmed:affiliation |
Department of Clinical Oncology, Leiden University Medical Centre, Leiden, the Netherlands. j.m.baas@lumc.nl
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pubmed:publicationType |
Journal Article,
Case Reports
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