Occult ectopic ACTH syndrome presenting with pulmonary nocardiosis and cognitive decline in a vulnerable patient.
1/5 보강
PICO 자동 추출 (휴리스틱, conf 2/4)
유사 논문P · Population 대상 환자/모집단
추출되지 않음
I · Intervention 중재 / 시술
bilateral adrenalectomy with marked improvement
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
Despite medical therapy, hypercortisolism persisted, and she ultimately underwent bilateral adrenalectomy with marked improvement. This case illustrates the challenges of occult ectopic ACTH syndrome and underscores the importance of multidisciplinary management.
A woman in her early 60s with a remote history of lung cancer presented with severe hypercortisolism, bilateral pulmonary consolidations and progressive cognitive decline.
APA
Ancha B, Ermolovich J, Harry-Hernandez S (2025). Occult ectopic ACTH syndrome presenting with pulmonary nocardiosis and cognitive decline in a vulnerable patient.. BMJ case reports, 18(12). https://doi.org/10.1136/bcr-2025-268512
MLA
Ancha B, et al.. "Occult ectopic ACTH syndrome presenting with pulmonary nocardiosis and cognitive decline in a vulnerable patient.." BMJ case reports, vol. 18, no. 12, 2025.
PMID
41419238 ↗
Abstract 한글 요약
A woman in her early 60s with a remote history of lung cancer presented with severe hypercortisolism, bilateral pulmonary consolidations and progressive cognitive decline. Extensive imaging and biopsies failed to identify a definitive adrenocorticotropic hormone (ACTH)-secreting tumour, but pulmonary nocardiosis was diagnosed, reflecting profound cortisol-induced immunosuppression. Management was further complicated by limited social supports and a history of unstable housing, raising concerns about access to advanced imaging and reliable follow-up. Despite medical therapy, hypercortisolism persisted, and she ultimately underwent bilateral adrenalectomy with marked improvement. This case illustrates the challenges of occult ectopic ACTH syndrome and underscores the importance of multidisciplinary management.
🏷️ 키워드 / MeSH 📖 같은 키워드 OA만
🏷️ 같은 키워드 · 무료전문 — 이 논문 MeSH/keyword 기반
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