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Cushingu2019s syndrome is a hormonal disorder exacerbated by chronic exposure to excess glucocorticoids, either exogenous or endogenous. The bronchial carcinoid tumor is a rare cause, accounting for less than 1% of cases. Depression and anxiety are the most common medical signs, with manic and psychotic signs being less common. Psychotic symptoms are often difficult to handle, and it is therefore not a prescription for medical treatment of Cushing's syndrome. Objectives: This type of psychotic disorders of organic origins can contribute to their research and raise hopes among clinical care specialists with the intention of improving their prevention, as well as raising concerns about them. Results We describe the case of a 44-year-old woman who was charged with Internal Medicine due to Cushing's syndrome.
Source link: https://doi.org/10.1192/j.eurpsy.2022.437
Abstract Carcinoid syndrome is a paraneoplastic disorder characterized by the release of 5-hydroxytryptamine and other vasoactive components from neuroendocrine tumors, mainly those from the duodenum, jejunum, ileum, and bronchial NETs. The Carcinoid crisis is an acute and life-threatening situation, with continuous flushing, hyperdynamic shock, and acute kidney injury. Heart disease with valvular insufficiency and heart failure is typical in the right side of the heart. The most often directed at monitoring symptoms is aimed at diagnosis, with the majority of care for carcinoid syndrome being a somatostatin analogue. To palliate diarrhoea, symptomatic therapies are used. To prevent the onset of pellagra, Niacin tablets should be used. The general prognosis is good, with median overall survival of 9. 3 years, but the occurrence of carcinoid syndrome has reduced this to 5. 0 years, with less in the presence of heart disease.
Source link: https://doi.org/10.1093/med/9780198746690.003.0297
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