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Case Reports in Endocrinology
Volume 2012 (2012), Article ID 215038, 4 pages
http://dx.doi.org/10.1155/2012/215038
Case Report

Cushing’s Syndrome due to Ectopic ACTH from Bronchial Carcinoid: A Case Report and Review

Department of Endocrinology, Epsom and St Helier University Hospitals NHS Trust, Surrey SM5 1AA, UK

Received 10 January 2012; Accepted 15 March 2012

Academic Editors: H. Ikeda and L. Mastrandrea

Copyright © 2012 Manohara Kenchaiah and Steve Hyer. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Despite advances in analytic and imaging techniques, the syndrome of ectopic adrenocorticotrophic hormone (ACTH) secretion from a tumour resulting in Cushing’s syndrome continues to pose difficult diagnostic and therapeutic challenges. Dynamic testing may be equivocal and radiology indeterminate. We report a patient presenting with Cushing’s syndrome associated with ectopic ACTH secretion from a bronchial carcinoid whose management presented diagnostic and therapeutic challenges.