Multiple pulmonary nodules in ectopic adrenocorticotropic hormone syndrome: cause or result?

Shan-Yueh Chang, Tzu-Chuan Huang, Wen-Lin Su, Chih-Feng Chian, Wann-Cherng Perng

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Tri-Service General Hospital, Taipei, Taiwan.

Medical principles and practice : international journal of the Kuwait University, Health Science Centre 2012

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To report a case of invasive pulmonary aspergillosis mimicking lung cancer with lung to lung metastases in ectopic adrenocorticotropic hormone syndrome (EAS). A 60-year-old man suffering from hypokalemic alkalosis, hypertension and limbs paralysis was referred to our hospital. EAS caused by malignancy of lung was highly suspected due to multiple pulmonary nodules presenting on chest film and positron emission tomography (PET) images. Video-assisted thoracic surgical biopsy tissue was used to confirm invasive aspergillosis instead of malignancy. Finally, the patient died of opportunistic infection. This case showed that although EAS is usually associated with solid tumors, multiple pulmonary nodules secondary to opportunistic infections such as invasive aspergillosis must be kept in mind. Copyright © 2012 S. Karger AG, Basel.

Citation

Shan-Yueh Chang, Tzu-Chuan Huang, Wen-Lin Su, Chih-Feng Chian, Wann-Cherng Perng. Multiple pulmonary nodules in ectopic adrenocorticotropic hormone syndrome: cause or result? Medical principles and practice : international journal of the Kuwait University, Health Science Centre. 2012;21(3):292-4