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Unusual triad of obstructive sleep apnea, uncontrolled hypertension, and severe hypokalemia due to ectopic adrenocorticotropic secretion.
[cushing syndrome]
Ectopic
adrenocorticotropic
hormone
secretion
is
responsible
for
12
%
to
17
%
of
all
cases
of
the
Cushing
syndrome
.
One
of
the
most
commonly
described
causes
of
ectopic
adrenocorticotropic
hormone
secretion
is
small
cell
carcinoma
of
the
lung
.
A
rare
cause
includes
a
functioning
neuroendocrine
tumor
traditionally
known
as
carcinoids
that
account
for
5
%
of
all
mediastinal
tumors
.
To
our
knowledge
,
all
reported
cases
of
mediastinal
carcinoids
are
thymic
in
origin
and
only
a
minority
of
those
is
functional
.
We
present
a
male
patient
with
hypertension
,
obstructive
sleep
apnea
,
and
acid-base
disorder
,
in
whom
further
investigation
revealed
an
anterior
mediastinal
mass
and
Cushing
syndrome
.
