17-ketosteroids and Alkalosis

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Adrenocorticotropic Hormone; Adult; Aged; Aldosterone; Alkalosis; Carcinoma, Bronchogenic; Corticosterone; Cushing Syndrome; Deficiency Diseases; Desoxycorticosterone; Humans; Hypokalemia; Lung Neoplasms; Male; Middle Aged; Pancreatic Neoplasms

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Adrenal Gland Neoplasms; Adult; Alkalosis; Electrolytes; Female; Humans; Hyperaldosteronism; Hypertension; Hypokalemia; Renin; Spironolactone

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Adrenocorticotropic Hormone; Adult; Alkalosis; Bronchial Neoplasms; Cushing Syndrome; Dexamethasone; Female; Fluorescent Antibody Technique; Humans; Hypokalemia; Hypophysectomy; Lung Neoplasms; Pigmentation Disorders

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Adrenalectomy; Alkalosis; Child; Dwarfism; Female; Humans; Hyperaldosteronism; Hyperkalemia; Hyperplasia; Juxtaglomerular Apparatus; Photometry

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Adrenocortical Hyperfunction; Adrenocorticotropic Hormone; Alkalosis; Carcinoma; Carcinoma, Squamous Cell; Esophageal Neoplasms; Humans; Hypokalemia; Liver Neoplasms; Neoplasm Metastasis; Pathology; Pituitary-Adrenal Function Tests

Five patients with bronchogenic carcinoma associated with adrenocortical hyperfunction are described. The clinical features, laboratory studies and autopsy findings are discussed and compared with previously reported cases. Four patients presented most of the typical features of this disorder as previously described, whereas the fifth was atypical in some respects. Typical features included: acute onset of adrenocortical hyperfunction in a middle-aged male, rapid downhill course, slight or absent physical signs of Cushing's syndrome, frequently impaired glucose tolerance, markedly elevated plasma and urinary 17-hydroxycorticosteroids not suppressed by exogenous steroids, absent diurnal variation of plasma corticoids, hypokalemic alkalosis with normal aldosterone excretion, and tumour histology of the oat cell variety. The adrenal glands of two patients were of normal or slightly increased weight, and mean 17-ketosteroid excretion values were normal in three; this contrasts with the marked increase in adrenal weight and 17-ketosteroid excretion in most reported cases.

Topics: 17-Ketosteroids; Adrenal Glands; Adrenocortical Hyperfunction; Adult; Alkalosis; Autopsy; Blood; Carcinoma, Bronchogenic; Clinical Laboratory Techniques; Glucose Tolerance Test; Humans; Hypokalemia; Lung Neoplasms; Male; Middle Aged; Urine

Topics: 17-Ketosteroids; Acid-Base Equilibrium; Adrenocortical Hyperfunction; Alkalosis; Carcinoma; Electrocardiography; Humans; Hypokalemia; Lung Neoplasms; Lymphatic Metastasis; Potassium; Sodium; Urine

Topics: 17-Hydroxycorticosteroids; 17-Ketosteroids; Adenoma; Adrenalectomy; Adrenocorticotropic Hormone; Alkalosis; Bartter Syndrome; Bronchial Neoplasms; Cushing Syndrome; Dexamethasone; Heart Arrest; Humans; Hypokalemia; Metyrapone; Neoplasms; Neoplasms, Multiple Primary; Pathology; Radiography, Thoracic; Urine