Insuficiencia suprarrenal y crisis addisoniana como primera manifestación de cáncer de pulmón y metástasis suprarrenal bilateral: Caso clínico
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Carlos Utreras [1] ; René E Díaz [2] ; Rodrigo Ascui [1] ; Rodrigo Caro [1] ; Jesús Véliz [2] ; Nelson Wohllk [2]
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[1] Universidad de Chile
Universidad de Chile
Santiago, Chile
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[2] Hospital del Salvador
Hospital del Salvador
Santiago, Chile
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- Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 139, Nº. 9, 2011, págs. 1196-1200
- Idioma: español
- Títulos paralelos:
- Addisonian crisis caused by metastatic lung cancer: Report of one case
- Enlaces
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Resumen
Addisonian crisis as a first manifestation of metastatic disease secondary to cancer is uncommon. We report a 63-year-old man with a history of one year of fatigue, weakness, weight loss and repeated symptomatic hypoglycemia. The cortisol stimulation test with ACTH confirmed primary adrenal insufficiency. While receiving adequate treatment with oral hydrocortisone, he presented an adrenal crisis that was treated properly. A CT scan of the lung demonstrated a nodule in the upper right lobe and bilateral adrenal tumors. The biopsy of the lesion revealed a lung adenocarcinoma. The staging with positron emission tomography using 18 fluoroglucose (PET/CT18F- FDG) showed hypermetabolic uptake in the primary lung tumor and in both adrenal glands, suggesting metastatic implants.
