1. OAR@UM
  2. Faculty of Medicine and Surgery
  3. Malta Medical Journal
  4. Malta Medical Journal, 2002-
  5. 2005
  6. MMJ, Volume 17, Issue 2
Please use this identifier to cite or link to this item: https://www.um.edu.mt/library/oar/handle/123456789/585
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dc.contributor.authorSammut, David-
dc.contributor.authorDebono, Miguel-
dc.contributor.authorCacciottolo, Joseph M.-
dc.date.accessioned2014-12-04T14:35:42Z-
dc.date.available2014-12-04T14:35:42Z-
dc.date.issued2005-
dc.identifier.citationMalta Medical Journal. 2005, Vol.17(2), p. 40-45en_GB
dc.identifier.urihttps://www.um.edu.mt/library/oar//handle/123456789/585-
dc.description.abstractA 50 year old man presented with peripheral oedema, abdominal distension and a pulmonary opacity on CXR. He subsequently perforated his sigmoid colon as a complication of diverticulitis with pericolic abscess. After colectomy his postoperative period was marked by severe hypokalaemia, metabolic alkalosis, hyperglycaemia and recurrent chest infections. Paraneoplastic Cushing's syndrome was diagnosed after finding elevated serum cortisol and ACTH levels. CT-guided biopsy of the lung lesion revealed small-cell carcinoma. Bone scan disclosed collapse of numerous thoracic vertebrae possibly due to osteoporosis or oncogenic osteomalacia. Treatment with steroid-synthesis blockers was commenced but the patient died before tumour-directed therapy could be started. Ectopic ACTH syndrome and oncogenic osteomalacia are discussed.en_GB
dc.language.isoenen_GB
dc.publisherMalta Medical Journalen_GB
dc.rightsinfo:eu-repo/semantics/openAccessen_GB
dc.subjectACTH -- Malta -- Case studiesen_GB
dc.subjectCushing's syndromeen_GB
dc.subjectHypokalemiaen_GB
dc.subjectParaneoplastic syndromesen_GB
dc.subjectOsteomalaciaen_GB
dc.titleSwollen limbs and bone pain : a case reporten_GB
dc.typearticleen_GB
dc.rights.holderThe copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.en_GB
dc.description.reviewedpeer-reviewed-
Appears in Collections:MMJ, Volume 17, Issue 2
MMJ, Volume 17, Issue 2
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