A Case of Cushing’s Syndrome due to Ectopic Adrenocorticotropic Hormone Secretion from Esthesioneuroblastoma with Long Term Follow-Up after Resection

Table 1

Hospital course.

Laboratory	Day	1	2	3	4	5			10–17		19–
K+ (mmol/L)		2.0	1.9	2.2	2.8	3.4	3.6	2.3	2.5–3.7	3.2	3.1
HCO3− (mmol/L)		44	38	39	32	29	35	35	21–29	31	27
pH		7.64								7.56	7.55
Treatments
KCl (mEq)		100	200	260	280	200	80	120	(258)	810	(135)
Insulin (Units)		68	111	124	131	153	148	138	(115)	180	(54)
Eplerenone (mg)			25	75	125	150	50
Ketoconazole (mg)						200	200		(350)
Dexamethasone (mg)										8	(0.9)

Patient discharged on day 6 with eplerenone 25 mg twice a day, ketoconazole 200 mg twice a day, KCl 40 mEq four times a day, Lantus 50 units daily, and Lispro 28 units three times a day with meals plus sliding scale. Patient readmitted. Surgical operation (in italic font). Patient discharged on day 26, postoperative day 8 on dexamethasone 0.5 mg daily, Lantus 20 units daily, and Lispro 10 units three times a day with meals plus sliding scale. The numbers in parentheses represent the average amount per day over time interval.