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异位促肾上腺皮质激素的产生是已熟知的几种支气管癌的内分泌表现之一。作者报告一例有两个特点:其一,该患者已经接受皮质激素治疗哮喘病;其二,合并有丙种球蛋白缺乏症。病例报告:患者系男性46岁,最初因哮喘入院,咳嗽、哮鸣、气短达三周,对口服皮质激素和舒喘宁迅速有效。出院后,呼吸功能测定属正常。普通过敏原的皮肤试验为阳性,对笰状菌和鸟蛋白的凝集试验为阴性,其他试验包括血浆电解质和蛋白电泳也都是阴性。起初情况尚好,但六个月以后出现柯兴氏症候
Ectopic ACTH production is one of the well-known endocrine manifestations of several bronchogenic cancers. The authors report a case with two characteristics: First, the patient has received corticosteroid treatment of asthma; second, merger with gamma globulin deficiency. Case report: The male patient, 46 years of age, was initially hospitalized for asthma, coughing, wheezing and shortness of breath for up to three weeks and was prompt and effective for oral corticosteroids and salbutamol. After discharge, the respiratory function test is normal. Skin tests for common allergens are positive, negative for agglutination tests for C. oryzae and avian proteins, and other tests, including plasma electrolytes and protein electrophoresis, are also negative. The situation was good at first, but Cushing’s syndrome was seen six months later