title: Cushing syndrome in an infant due to cortisol secreting adrenal pheochromocytoma: a rare association.
abstract: Adrenocortical tumors are the most common cause of endogenous Cushing syndrome in infancy and early childhood. Cushing syndrome resulting from ectopic adrenocorticotrophic hormone (ACTH) producing tumor has been infrequently reported in adults. Cortisol secreting pheochromocytoma is rarely reported in literature. We report an eleven month old child presenting to us as Cushing syndrome with hypertension due to left adrenal tumor. He was treated with antihypertensives and left adrenalectomy was done under perioperative glucocorticoid coverage. Diagnosis of pheochromocytoma was made only after histopathology. Despite the rare association of Cushing syndrome and pheochromocytoma, preoperative diagnosis of pheochromocytoma is required for appropriate perioperative medical and anaesthetic management to prevent life threatening complications.
authors.affiliation: Department of Pediatrics and Pediatric Surgery, Chacha Nehru Bal Chikitsalaya, Geeta Colony, India. manishkp75@yahoo.com
authors.forename: Manish
authors.initials: M
authors.lastname: Kumar
authors.forename: Vishal
authors.initials: V
authors.lastname: Kumar
authors.forename: B
authors.initials: B
authors.lastname: Talukdar
authors.forename: Anup
authors.initials: A
authors.lastname: Mohta
authors.forename: Nita
authors.initials: N
authors.lastname: Khurana
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000097:blood / Q000150:complications*; D000311:Adrenal Glands / Q000378:metabolism / Q000473:pathology; D000315:Adrenalectomy; D002118:Calcium / Q000008:administration & dosage; D003131:Combined Modality Therapy; D003480:Cushing Syndrome / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D004656:Enalapril / Q000627:therapeutic use; D006801:Humans; D006854:Hydrocortisone / Q000097:blood*; D006973:Hypertension / Q000097:blood / Q000209:etiology / Q000473:pathology; D007223:Infant; D008297:Male; D010673:Pheochromocytoma / Q000097:blood / Q000150:complications*; D011239:Prednisolone / Q000627:therapeutic use; D013974:Thyroxine / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D004656:Enalapril; D011239:Prednisolone; D013974:Thyroxine; D002118:Calcium; D006854:Hydrocortisone