publication . Article . Report . 2011

Insuficiencia suprarrenal y crisis addisoniana como primera manifestación de cáncer de pulmón y metástasis suprarrenal bilateral: Caso clínico

Nelson Wohllk; Carlos Utreras; Rodrigo Ascui; René E. Díaz; Jesús Véliz; Rodrigo Caro;
Open Access
  • Published: 01 Sep 2011 Journal: Revista médica de Chile, volume 139, pages 1,196-1,200 (issn: 0034-9887, Copyright policy)
  • Publisher: SciELO Comision Nacional de Investigacion Cientifica Y Tecnologica (CONICYT)
Abstract
Addisonian crisis as a first manifestation of metastatic disease secondary to cancer is uncommon. We report a 63-year-old man with a history of one year of fatigue, weakness, weight loss and repeated symptomatic hypoglycemia. The cortisol stimulation test with ACTH confirmed primary adrenal insufficiency. While receiving adequate treatment with oral hydrocortisone, he presented an adrenal crisis that was treated properly. A CT scan of the lung demonstrated a nodule in the upper right lobe and bilateral adrenal tumors. The biopsy of the lesion revealed a lung adenocarcinoma. The staging with positron emission tomography using 18 fluoroglucose (PET/CT18F- FDG) sho...
Subjects
free text keywords: General Medicine, Lung adenocarcinoma, Neoplasm metastasis, Radiology, medicine.medical_specialty, medicine, Cancer, medicine.disease, Primary Adrenal Insufficiency, Adrenal crisis, medicine.symptom, Pathology, Adrenal insufficiency, Lung, medicine.anatomical_structure, Adenocarcinoma, Metastasis, business.industry, business, Biopsy, medicine.diagnostic_test
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