1.
Hong Kong Med J
; 30 Suppl 2: 1-44, 2024 04.
Article
in English
| MEDLINE
| ID: mdl-39113555
Subject(s)
Bone Density Conservation Agents , Osteoporosis, Postmenopausal , Humans , Hong Kong , Female , Osteoporosis, Postmenopausal/therapy , Osteoporosis, Postmenopausal/drug therapy , Bone Density Conservation Agents/therapeutic use , Bone Density , Aged , Middle Aged , Osteoporotic Fractures/prevention & control
2.
JCEM Case Rep
; 1(1): luac008, 2023 Jan.
Article
in English
| MEDLINE
| ID: mdl-37908265
ABSTRACT
This is a unique case of ectopic adrenocorticotropic hormone (ACTH)-secreting mediastinal neuroendocrine tumor, presumably thymic in origin, with suspected lung metastasis in a 61-year-old man who was successfully managed with long-term metyrapone alone. He presented with severe hypokalemia and hypertension, complicated with psychosis and vertebral collapse. He survived through a complicated course of pulseless ventricular tachycardia arrest and a severe Cushing storm due to drug nonadherence. For 3 years since diagnosis, he remained stable on metyrapone, and was able to achieve biochemical eucortisolism, with normalization of ACTH and cortisol levels. In addition, his tumor was reduced in size and the suspicious lung metastasis regressed.