Cushing's syndrome can precipitate diabetes but mask non‐Hodgkin's lymphoma

Greenfield, Jerry R.; Moore, John J.; Hill, Debbie; Brenner, P. K.; Delprado, Warick; Turner, J; Taylor, Joanne; Campbell, Lesley V.; Wong, Lai Yoong

doi:10.5694/j.1326-5377.2008.tb01608.x

Medical Journal of Australia

2008

DOI: 10.5694/j.1326-5377.2008.tb01608.x

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Cushing's syndrome can precipitate diabetes but mask non‐Hodgkin's lymphoma

Jerry R. Greenfield

John J. Moore

Debbie Hill

et al.

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Cited by 3 publications

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“…In human medicine, several studies reported that HAC masked concurrent steroid-responsive disease such as non-Hodgkin’s lymphoma and sarcoidosis [ 9 , 23 ]. However, no case of CLL masked by co-existing HAC has been reported to date in veterinary or human medicine.…”

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“…In human medicine, several studies have demonstrated that endogenous cortisol can suppress coincidental steroid-responsive diseases, including nephrotic syndrome and sarcoidosis [ 19 , 23 ]. A previous case report also surmised that the progression of non-Hodgkin’s lymphoma in a human was slowed by a concurrent adrenal tumor producing steroids [ 9 ]. Kheirandish et al .…”

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A case of chronic lymphocytic leukemia masked by Cushing’s disease in a dog

Choi

Kim

2021

The Journal of Veterinary Medical Science

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A 12-year-old, 3.5-kg, intact female dog was presented with polyuria, polydipsia, and a pendulous abdomen. Laboratory examinations showed elevated hepatobiliary enzyme levels and neutrophilic leukocytosis. The adrenocorticotropic hormone stimulation test confirmed hyperadrenocorticism (HAC). Trilostane therapy managed the clinical condition and cortisol concentration. However, lymphocytosis and nonregenerative anemia developed after HAC remission.Bone marrow aspiration analysis revealed a lymphoproliferative disorder with a clonal T-cell population. Accordingly, the patient was diagnosed with T-cell chronic lymphocytic leukemia (CLL) and concurrent HAC. Thereafter, chemotherapy was initiated, which improved the lymphocytosis.However, euthanasia was performed because of worsening quality of life at 45 weeks after the first presentation. These results suggested that CLL could be masked by excessive endogenous cortisol and discovered after HAC remission.

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A case of chronic lymphocytic leukemia masked by Cushing’s disease in a dog

Choi

Kim

2021

The Journal of Veterinary Medical Science

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Non-Hodgkin Lymphoma of External Auditory Canal – Uncommon Location and Related Risk Factors

Mettias

Zeitoun

2018

JCCI

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Objective: Presentation of rare case report of primary non-Hodgkin Lymphoma of temporal bone secondary to immunodeficiency after prolonged steroid administration in a diabetic patient. Then review the literature of similar case reports. Method: 49 years old female presented with hearing loss, facial paralysis and otalgia. Biopsy revealed high grade non Hodgkin’s B-lymphoma. She underwent chemotherapy and had remarkable response. Result: Rapidly progressive deafness, facial paralysis and otalgia are common presentations of external canal Non-Hodgkin lymphoma. The disease is common in middle age, females and has a fair response to chemotherapy, good to radiotherapy. Surgery is an alternative method in isolated lesions or recurrent cases. Conclusion: High dose steroid and type II diabetes are potential risks for acquired immunodeficiency. External Auditory canal lymphoma is uncommon sequel. Chemotherapy is very effective in treatment of isolated cases without B symptoms

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Cutaneous epitheliotropic T-cell lymphoma in a dog observed during treatment for iatrogenic Cushing disease which was removed by surgical resection

et al. 2020

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Cushing's syndrome can precipitate diabetes but mask non‐Hodgkin's lymphoma

Cited by 3 publications

References 3 publications

A case of chronic lymphocytic leukemia masked by Cushing’s disease in a dog

A case of chronic lymphocytic leukemia masked by Cushing’s disease in a dog

Non-Hodgkin Lymphoma of External Auditory Canal – Uncommon Location and Related Risk Factors

Cutaneous epitheliotropic T-cell lymphoma in a dog observed during treatment for iatrogenic Cushing disease which was removed by surgical resection

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