Ectopic Cushing’s Syndrome Secondary to Metastatic Paraganglioma

Paraneoplastic or ectopic Cushing’s syndrome (CS) is a rare cause of endogenous hypercortisolism. It is due to ectopic adrenocorticotropic hormone (ACTH) secretion and has been reported in association with a variety of neuroendocrine tumors such as small-cell lung carcinoma, carcinoid tumors, and me...

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Main Authors: R. Daya, C. Wingfield, P. Sotshononda, F. Seedat, S. Bulbulia, M. D. Simmons, M. Louw, Z. Bayat
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2021/5593920
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author R. Daya
C. Wingfield
P. Sotshononda
F. Seedat
S. Bulbulia
M. D. Simmons
M. Louw
Z. Bayat
author_facet R. Daya
C. Wingfield
P. Sotshononda
F. Seedat
S. Bulbulia
M. D. Simmons
M. Louw
Z. Bayat
author_sort R. Daya
collection DOAJ
description Paraneoplastic or ectopic Cushing’s syndrome (CS) is a rare cause of endogenous hypercortisolism. It is due to ectopic adrenocorticotropic hormone (ACTH) secretion and has been reported in association with a variety of neuroendocrine tumors such as small-cell lung carcinoma, carcinoid tumors, and medullary carcinoma of the thyroid. Paragangliomas (PGLs) are rare neuroendocrine tumors that can secrete catecholamines. Case reports and reports of ectopic ACTH secretion from metastatic PGLs causing CS are exceedingly rare. We present a case of a 38-year-old female, who presented with typical signs, symptoms, and complications of CS, secondary to a PGL with widespread metastases, which eventually led to her demise.
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publishDate 2021-01-01
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series Case Reports in Endocrinology
spelling doaj-art-1e0862a243964a1ba1d47fa8fc5cc2da2025-08-20T03:54:34ZengWileyCase Reports in Endocrinology2090-65012090-651X2021-01-01202110.1155/2021/55939205593920Ectopic Cushing’s Syndrome Secondary to Metastatic ParagangliomaR. Daya0C. Wingfield1P. Sotshononda2F. Seedat3S. Bulbulia4M. D. Simmons5M. Louw6Z. Bayat7Division of Endocrinology and Metabolism, Department of Internal Medicine, Helen Joseph Hospital, 1 Perth Road, Rossmore, Johannesburg, South AfricaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Helen Joseph Hospital, 1 Perth Road, Rossmore, Johannesburg, South AfricaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Helen Joseph Hospital, 1 Perth Road, Rossmore, Johannesburg, South AfricaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Helen Joseph Hospital, 1 Perth Road, Rossmore, Johannesburg, South AfricaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Helen Joseph Hospital, 1 Perth Road, Rossmore, Johannesburg, South AfricaDepartment of Anatomical Pathology, School of Pathology, University of the Witwatersrand, Johannesburg, South AfricaDepartment of Anatomical Pathology, School of Pathology, University of the Witwatersrand, Johannesburg, South AfricaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Helen Joseph Hospital, 1 Perth Road, Rossmore, Johannesburg, South AfricaParaneoplastic or ectopic Cushing’s syndrome (CS) is a rare cause of endogenous hypercortisolism. It is due to ectopic adrenocorticotropic hormone (ACTH) secretion and has been reported in association with a variety of neuroendocrine tumors such as small-cell lung carcinoma, carcinoid tumors, and medullary carcinoma of the thyroid. Paragangliomas (PGLs) are rare neuroendocrine tumors that can secrete catecholamines. Case reports and reports of ectopic ACTH secretion from metastatic PGLs causing CS are exceedingly rare. We present a case of a 38-year-old female, who presented with typical signs, symptoms, and complications of CS, secondary to a PGL with widespread metastases, which eventually led to her demise.http://dx.doi.org/10.1155/2021/5593920
spellingShingle R. Daya
C. Wingfield
P. Sotshononda
F. Seedat
S. Bulbulia
M. D. Simmons
M. Louw
Z. Bayat
Ectopic Cushing’s Syndrome Secondary to Metastatic Paraganglioma
Case Reports in Endocrinology
title Ectopic Cushing’s Syndrome Secondary to Metastatic Paraganglioma
title_full Ectopic Cushing’s Syndrome Secondary to Metastatic Paraganglioma
title_fullStr Ectopic Cushing’s Syndrome Secondary to Metastatic Paraganglioma
title_full_unstemmed Ectopic Cushing’s Syndrome Secondary to Metastatic Paraganglioma
title_short Ectopic Cushing’s Syndrome Secondary to Metastatic Paraganglioma
title_sort ectopic cushing s syndrome secondary to metastatic paraganglioma
url http://dx.doi.org/10.1155/2021/5593920
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