INTRODUCTION Ectopic Cushing syndrome is a form of Cushing's in which a tumor outside the pituitary gland produces adrenocorticotropic hormone (ACTH). Small cell carcinoma and carcinoid of the lung comprises half of its cases. The main purpose of this study is to present a case of ectopic Cushing syndrome caused by a hidden lung carcinoid and how to manage it. PRESENTATION OF CASE Here we pre...

Münchhausen's syndrome (MS) is a chronic factitious disorder characterized by the intentional production of clinical symptoms without external incentive. One type of MS is factitious Cushing syndrome, an extremely rare clinical situation in which the diagnosis is challenging mainly due to interference of the exogenous medication in cortisol immunoassays. We described a 26-year-old woman who was...

OBJECTIVES: To evaluate the safety and long-term efficacy of computed tomography-guided percutaneous ethanol ablation for benign primary and secondary hyperfunctioning adrenal disorders. METHOD: We retrospectively evaluated the long-term results of nine patients treated with computed tomography-guided percutaneous ethanol ablation: eight subjects who presented with primary adrenal disorders, ...

Pituitary-induced bilateral adrenocortical hyperplasia also known as pituitary-dependent Cushing's disease (PDH) accounts for about 85% of all cases of spontaneous hypercortisolism in the dog. It results from either an adenohypophyseal ACTH-secreting microor macroadenoma or from excess pituitary ACTH secretion due to oversecretion of corticotrophin releasing factor (CRF) by the hypothalamus. Th...

The physician of today may be somewhat bewildered in the face of the vast current literature on penicillin and the conflicting views on methods of administration, dosages, and indications. Dr. Fleming and his 28 associates have now provided a most authoritative and yet practical guide-book concerning the place of this agent in medicine. No one will deny that much remains to be learned of penici...

Sir Hugh Cairns, the first Nuffield Professor of Surgery in Oxford and consultant neurosurgeon to the Royal Army Medical Corps during World War II, was a leader in helping to establish neurosurgery as a speciality in Britain. After learning the craft from Dr Harvey Cushing in Boston, Cairns fought against the general surgical orthodoxy in London to establish the first specialised neurosurgical ...

Bilateral inferior petrosal sinus sampling is the gold standard diagnostic assay in identifying the pituitary source of adrenocorticotropic hormone secretion in Cushing syndrome. The noninvasive assays used in the workup of Cushing syndrome are often misleading or ambiguous, yielding sensitivities of up to only 80%. Inferior petrosal sinus sampling, however, is highly accurate a...