Case Report
Ectopic Cushing’s Syndrome Secondary to Metastatic Paraganglioma
Table 1
Summary of biochemical results.
| | Variable | Result | Reference range |
| | White cell count | 8.45 | 3.90–12.60 × 109/L | | Hemoglobin | 9.0 | 11.6–16.4 g/dl | | Mean cell volume | 89.6 | 78.9–98.5 fL | | Platelet count | 311 | 186–454 × 109/L | | Sodium | 145 | 136–145 mmol/L | | Potassium | 3.2 | 3.5–5.1 mmol/L | | Urea | 5.6 | 2.1–7.1 mmol/L | | Creatinine | 65 | 49–90 umol/L | | eGFR (estimated glomerular filtration rate) | 104 | >89 mL/mim/1.73 m2 | | HbA1 C (glycated hemoglobin) | 7.6 | <6.5% | | Fasting blood glucose | 11.6 | 3.3–6.0 mmol/L | | Calcium | 2.28 | 2.15–2.50 mmol/L | | Magnesium | 0.87 | 0.63–1.05 mmol/L | | Inorganic phosphate | 0.75 | 0.78–1.42 mmol/L | | ALP (alkaline phosphatase) | 58 | 42–98 U/L | | GGT (gamma-glutamyl transferase) | 40 | <40 U/L | | TSH (thyroid-stimulating hormone) | 0.84 | 0.35–5.50 mIU/L | | 8 am cortisol | 1118 | 133–537 nmol/L | | ACTH (adrenocorticotropic hormone) | 4.6 | 1.6–13.9 pmol/L | | 24-hour urinary free cortisol (1st sample) | 10447 | 10–124 nmol/24 hours | | 24-hour urinary free cortisol (2nd sample) | 9856 | 10–124 nmol/24 hours | | Midnight cortisol | 1042 | <50 nmol/L | | Chromogranin A | 750.3 | 0.0–84.7 ng/mL |
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