SciELO - Scientific Electronic Library Online

vol.139 issue9Sub capsular splenic hematoma in a sickle cell trait carrier. Case reportVenous thrombosis secondary to catheter insertion for hypothermia after cardiac arrest: Report of one case author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Revista médica de Chile

Print version ISSN 0034-9887


UTRERAS, Carlos et al. Addisonian crisis caused by metastatic lung cancer: Report of one case. Rev. méd. Chile [online]. 2011, vol.139, n.9, pp.1196-1200. ISSN 0034-9887.

Addisonian crisis as a first manifestation of metastatic disease secondary to cancer is uncommon. We report a 63-year-old man with a history of one year of fatigue, weakness, weight loss and repeated symptomatic hypoglycemia. The cortisol stimulation test with ACTH confirmed primary adrenal insufficiency. While receiving adequate treatment with oral hydrocortisone, he presented an adrenal crisis that was treated properly. A CT scan of the lung demonstrated a nodule in the upper right lobe and bilateral adrenal tumors. The biopsy of the lesion revealed a lung adenocarcinoma. The staging with positron emission tomography using 18 fluoroglucose (PET/CT18F- FDG) showed hypermetabolic uptake in the primary lung tumor and in both adrenal glands, suggesting metastatic implants.

Keywords : Adrenal insufficiency; Lung adenocarcinoma; Neoplasm metastasis.

        · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License