Acta Scientific Clinical Case Reports

Case ReportVolume 3 Issue 5

Double Trouble: Cushing's Syndrome Due to ACTH-secreting Pheochromocytoma

Niladri Das, Soumik Goswami, Arjun Baidya, Nilanjan Sengupta, Prashant Gaikwad, Deep Hathi and Silima S Tarenia*

Department of Endocrinology, Nilratan Sircar Medical College and Hospital, Kolkata, India

*Corresponding Author: Silima S Tarenia, Department of Endocrinology, Nilratan Sircar Medical College and Hospital, Kolkata, India.

Received: March 29, 2022; Published: April 20, 2022

Abstract

Pheochromocytoma is a catecholamine secreting adrenal tumor originating from chromaffin cells which accounts for 5% of ectopic ACTH syndrome cases and is infrequently reported in medical literature.

Case Description: A 36 year old woman presented with Cushingoid habitus, resistant hypertension, hypokalemia and recent onset diabetes. Endocrinological examination revealed ectopic ACTH production with hypercortisolemia and elevated plasma catecholamines. MRI abdomen showed a large left sided adrenal tumor. After initial medical management, left adrenalectomy resulted in complete remission of Cushing’s syndrome and pheochromocytoma.

Conclusion: We present here a case of ACTH producing pheochromocytoma with clinical features of Cushing syndrome.

Keywords: Pheochromocytoma; Ectopic ACTH Syndrome; Cushing’s Syndrome

Bibliography

  1. J Lindholm., et al. “Incidence and late prognosis of Cushing’s syndrome: a population-based study”. The Journal of Clinical Endocrinology and Metabolism 1 (2001): 117-123.
  2. AM Isidori., et al. “The ectopic adrenocorticotropin syndrome: clinical features, diagnosis, management and long-term follow-up”. The Journal of Clinical Endocrinology and Metabolism 2 (2006): 371-377.
  3. H Chen., et al. “Adrenocorticotropic hormone-secreting pheochromocytomas: The exception to the rule”. Surgery6 (1995): 988-995.
  4. L Crapo. “Cushing’s syndrome: a review of diagnostic tests”. Metabolism9 (1979): 955-977.
  5. I Ilias., et al. “Cushing’s syndrome due to ectopic corticotropin secretion: 20 years’ experience at the National Institute of Health”. The Journal of Clinical Endocrinology and Metabolism 8 (2005): 4955-4962.
  6. Mark E Molith. “Non functioning pituitary tumours and pituitary incidentalomas”. Endocrinology and Metabolism Clinics of North America 1 (2008): 151-71,xi.
  7. Ollivier M., et al. “Should we avoid using ketoconazole in patients with severe Cushing’s syndrome and increased levels of liver enzymes?” European Journal of Endocrinology 5 (2018): L1-L2.
  8. Young J., et al. “Hepatic safety of ketoconazole in Cushing’s syndrome: results of a Compassionate Use Programme in France”. European Journal of Endocrinology 5 (2018): 447-458.
  9. TIM Korevaar and AB Grossman. “Pheochromocytomas and paragangliomas: assessment of malignant potential”. Endocrine3 (2011): 354-365.

Citation: Niladri Das., et al. “Double Trouble: Cushing's Syndrome Due to ACTH-secreting Pheochromocytoma". Acta Scientific Clinical Case Reports 3.5 (2022): 72-75.

Copyright: © 2022 Niladri Das., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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