Ectopic @entity4545 secretion from @entity0 is extremely rare. We report a case of a 30-year-old @entity1 with a history of @entity0 , who presented with @entity716 and @entity10963 . CT of the head showed @entity62 consistent with @entity75 ( @entity75 ). Despite using @entity3927 with multiple antihypertensives including @entity3593 , @entity1482 and @entity1406 , she was @entity101 . Transaminitis did not allow @entity3927 dose escalation and @entity3102 utilization. Etomidate infusion at a non-sedating dose in the intensive care unit controlled her @entity101 and @entity701 levels. She was transitioned to @entity4235 and @entity1482 . She was discharged from the hospital on @entity4235 with @entity1482 and underwent chemotherapy. She died 9 months later after she rapidly redeveloped @entity699 and had progressive metastatic @entity0 involving multiple bones, liver and lungs causing @entity1576 . LEARNING POINTS: @entity699 from ectopic @entity4545 secreting @entity0 is extremely rare. @entity699 causing @entity716 could be multifactorial including @entity699 and @entity75 .Etomidate at non-sedating doses in intensive care setting can be effective to reduce @entity701 production followed by transition to oral @entity4235 .

Cushing's storm secondary to a rare case of ectopic @entity4545 secreting metastatic XXXX .

@entity1 :: ('9606', 'Species') :: ['woman'] @entity4545 :: ('5443', 'Gene') :: ['ACTH'] @entity4235 :: ('MESH:D008797', 'Chemical') :: ['metyrapone'] @entity0 :: ('MESH:D001943', 'Disease') :: ['breast cancer'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension', 'hypertensive'] @entity75 :: ('MESH:D001927', 'Disease') :: ['PRES', 'posterior reversible encephalopathy syndrome'] @entity3102 :: ('MESH:D007654', 'Chemical') :: ['ketoconazole'] @entity1482 :: ('MESH:D013148', 'Chemical') :: ['spironolactone'] @entity699 :: ('MESH:D003480', 'Disease') :: ["Cushing's syndrome", 'hypercortisolism'] @entity1406 :: ('MESH:D008790', 'Chemical') :: ['metoprolol'] @entity716 :: ('MESH:D011605', 'Disease') :: ['psychosis'] @entity701 :: ('MESH:D006854', 'Chemical') :: ['cortisol'] @entity3593 :: ('MESH:D017706', 'Chemical') :: ['lisinopril'] @entity62 :: ('MESH:D056784', 'Disease') :: ['white matter disease'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['respiratory failure'] @entity10963 :: ('MESH:D010259', 'Disease') :: ['paranoid behaviour'] @entity3927 :: ('MESH:D015735', 'Chemical') :: ['mifepristone']
@entity0 :: (MESH:D001943,Disease) :: ['breast cancer']
