He was an active smoker that had smoked 100 pack-years. When he tried to eat, he felt nausea and sometimes vomited. In the last 4 months, he had anorexia, asthenia, and difficulty to swallow any food. Case ReportĪ 69-year-old man was admitted to a hospital in the South of Brazil, with weight loss, weakness, and difficulty to swallow. Lung cancer is commonly associated with adrenal metastasis, but few reports show association with adrenal insufficiency. Other causes include adrenal destruction by infections such tuberculosis and fungal disease or cancer metastatic infiltration. IntroductionĪdrenal failure is a rare condition, and the most common cause is autoimmune adrenalitis. We review the differential diagnosis of weight loss and how to make diagnosis of adrenal insufficiency. This is a rare presentation of lung cancer. We report a case of a patient with adrenal failure due to bilateral adrenal metastasis of lung cancer.
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