title: [68-year-old female patient with dyspnea and hypokalemic hypertension].
abstract: Ectopic ACTH syndrome is a rare differential diagnosis of hypokalemic hypertension. Patients with ectopic ACTH syndrome due to small cell lung cancer have a poor prognosis. We report on a 68-year-old female patient who presented with dyspnea and hypokalemic hypertension. Endocrine testing was consistent with ectopic ACTH syndrome due to small cell lung cancer. After initiation of chemotherapy with etoposide and carboplatin ACTH and cortisol levels normalized and clinical symptoms impressively improved.
authors.affiliation: Abt für Endokrinologie, Diabetes, Angiologie, Nephrologie und Klinische Chemie, Medizinische Universitätsklinik Tübingen, Otfried-Müller-Strasse 10, 72076, Tübingen, Germany. Karsten.Muessig@med.uni-tuebingen.de
authors.forename: K
authors.initials: K
authors.lastname: Müssig
authors.forename: C
authors.initials: C
authors.lastname: Maser-Gluth
authors.forename: M
authors.initials: M
authors.lastname: Hartmann
authors.forename: M
authors.initials: M
authors.lastname: Wehrmann
authors.forename: M
authors.initials: M
authors.lastname: Horger
authors.forename: L
authors.initials: L
authors.lastname: Kanz
authors.forename: H-U
authors.initials: HU
authors.lastname: Häring
authors.forename: S A
authors.initials: SA
authors.lastname: Wudy
mesh_terms: D000182:ACTH Syndrome, Ectopic / Q000175:diagnosis*; D000368:Aged; D018288:Carcinoma, Small Cell / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000097:blood; D006973:Hypertension / Q000209:etiology*; D007008:Hypokalemia / Q000209:etiology*; D008175:Lung Neoplasms / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
chemical_list: D006854:Hydrocortisone