@Article{,
AUTHOR = {Niki Brenner, Robert Kopetschke, Manfred Ventz, Christian J. Strasburger, Marcus Quinkler, Helga Gerl},
TITLE = {Cushing´s syndrome due to ACTH-secreting pheochromocytoma},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {15},
YEAR = {2008},
NUMBER = {1},
PAGES = {3924--3927},
URL = {http://www.techscience.com/CJU/v15n1/62335},
ISSN = {1488-5581},
ABSTRACT = {Ectopic secretion of adrenocorticotropic hormone (ACTH)
is an infrequent cause of Cushing´s syndrome. We report
a case of ectopic ACTH syndrome caused by a
pheochromocytoma. A 53-year-old female with clinical
features of Cushing´s syndrome presented with
serious recurrent hypertensive crisis. Endocrinological
investigation confirmed the diagnosis of ectopic
ACTH production and revealed markedly elevated
urinary catecholamines leading to the diagnosis of
pheochromocytoma. Abdominal computerized tomography
(CT) scan showed a 3.5 cm left adrenal mass and a nodular
hypertrophic right adrenal gland. Bilateral selective adrenal
vein catheterization suggested bilateral pheochromocytoma.
After treatment with phenoxybenzamine, bilateral
adrenalectomy was performed and resulted in remission of
Cushing´s syndrome and hypertensive crisis. In addition,
this article provides a short guideline for endocrine testing
if Cushing´s disease or pheochromocytoma is suspected.
However, the most important message of this article is to
think of them.},
DOI = {}
}