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Cushing'S Syndrome, Cortisol, And Cognitive Competency: A Case Report

Neil Oronsky,Bennett Thilagar,Carolyn M. Ray,Scott Caroen,Michelle M. C. Lybeck, Lindsey Ferry, Ronald A. Voves,Bryan Oronsky

CASE REPORTS IN ONCOLOGY（2017）

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Abstract
Glucocorticoids are associated with immunosuppression and neuropsychiatric complications. We describe the case of a carcinoid patient with Cushing's syndrome (CS) and neurocognitive impairment due to ectopic ACTH production who developed sepsis and died because of his family's decision to withdraw antibiotic treatment. This report is presented to illustrate the importance of advanced-care planning in patients with CS. (C) 2017 The Author(s) Published by S. Karger AG, Basel
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Key words
Cushing's syndrome,Carcinoid patient,Glucocorticoids,ACTH,Immunosuppression,Neurocognitive impairment,Advanced directives
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