[62 year-old patient with rapid progressive edema, low potassium and hypertension].
A 62 year-old patient was admitted to hospital with rapid progressive edema, low potassium and hypertension. This symptoms are caused by Cushing's syndrome through ectopic paraneoplastic ACTH-production. Primary neoplasm is a small cell cancer. A Sertoli-cell-tumor of the testis was diagnosed as an additional carcinoma. Palliative chemotherapy and adrenostatic agents did not improve the clinical findings and the patient died eight weeks after admission.
Medizinische Klinik 3, Krankenhaus München-Schwabing, Munich, Germany. Michael.Hummel@lrz.uni-muenchen.de
M
M
Hummel
L
L
Schaaf
M
M
Füchtenbusch
E
E
Standl
A
A
Ziegler
D003480:Cushing Syndrome / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D018450:Disease Progression; D004487:Edema / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000209:etiology*; D007008:Hypokalemia / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012707:Sertoli Cell Tumor / Q000150:complications* / Q000175:diagnosis; D013736:Testicular Neoplasms / Q000150:complications* / Q000175:diagnosis*