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ectopic ACTH syndrome
Etiology:
-> ACTH- or CRH-producing non endocrine tumors
a) bronchogenic carcinoma
- small cell carcinoma (50%)
b) carcinoid
c) pancreatic carcinoma
d) bronchial adenoma
Clinical manifestations:
- generalized hyperpigmentation
- see Cushing's syndrome
Management:
- treatment of underlying malignancy may result in some reversal of hyperpigmentation
Related
adrenocorticotropic hormone; corticotropin; adrenocorticotropin (ACTH)
pituitary adenoma/ACTH secreting
General
paraneoplastic syndrome
Cushing's syndrome; hypercortisolism; hyperadrenocorticism; pluriglandular syndrome
References
- Medical Knowledge Self Assessment Program (MKSAP) 15, 16, 17
American College of Physicians, Philadelphia 2009, 2012, 2015