raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:99889

Cushing syndrome due to ectopic ACTH secretion

Synonyms: Adrenocorticotropic hormone secretion syndrome · Ectopic ACTH secreting tumor · Ectopic Cushing syndrome · Occult ectopic ACTH secretion · Paraneoplastic Cushing syndrome

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Adult, Elderly
Status
active

A form of adrenocorticotropic hormone (ACTH)-dependent Cushing syndrome, an endogenous Cushing syndrome (CS), characterized by the secretion of ACTH by non-pituitary neuroendocrine tumors (NETs) of various locations and various degrees of histological differentiation and aggressiveness.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCushing syndrome due to ectopic ACTH secretionAdrenocorticotropic hormone secretion syndrome · Ectopic ACTH secreting tumor · Ectopic Cushing syndrome · Occult ectopic ACTH secretion · Paraneoplastic Cushing syndrome
frSyndrome de Cushing par sécrétion ectopique d'ACTHSyndrome de Cushing ectopique · Syndrome de Cushing paranéoplasique · Syndrome de production ectopique d'ACTH
deCushing-Syndrom durch ektopische ACTH-ProduktionAdrenocorticotropes Hormon-Sekretions-Syndrom · Cushing-Syndrom, ektopisches · Cushing-Syndrom, paraneoplastisches · Okkulte ektopische ACTH-Ausschüttung · Tumor, ACTH-sezernierender ektopischer
esSíndrome de Cushing por secreción ectópica de ACTHSecreción ectópica de ACTH oculta · Sindrome de Cushing paraneoplásico · Síndrome de Cushing ectópico · Síndrome de secreción de la hormona adrenocorticotrópica · Tumor secretor de ACTH ectópico
itSindrome di Cushing da secrezione ectopica di ACTHSecrezione ectopica occulta di ACTH · Sindrome da secrezione dell'ormone adrenocorticotropo · Sindrome ectopica di Cushing · Sindrome paraneoplastica di Cushing · Tumore ectopico secernente ACTH
nlSyndroom van Cushing door ectopische ACTH-secretieAdrenocorticotroop hormoon-secretiesyndroom · Ectopisch syndroom van Cushing · Ectopische ACTH-secreterende tumor · Occulte ectopische ACTH-secretie · Paraneoplastisch syndroom van Cushing
ptSíndrome Cushing por secreção ectópica de ACTH
plZespół Cushinga spowodowany ektopowym wydzielaniem ACTHEktopowy guz wydzielający ACTH · Ektopowy zespół Cushinga · Paraneoplastyczny zespół Cushinga · Ukryte ektopowe wydzielanie ACTH · Zespół wydzielania hormonu adrenokortykotropowego
csCushingův syndrom způsobený ektopickou sekrecí ACTHSyndrom adrenokortikotropní hormonální sekrece · Ektopický ACTH sekretující nádor · Okultní ektopická sekrece ACTH · Ektopický Cushingův syndrom · Paraneoplastický Cushingův syndrom
ukСиндром Кушинга внаслідок ектопічної секреції АКТГСиндром секреції адренокортикотропного гормону · Ектопічна пухлина, що секретує АКТГ · Синдром ектопічного Кушинга · Прихована ектопічна секреція АКТГ · Паранеопластичний синдром Кушинга
zh异位促肾上腺皮质激素分泌所致库欣综合征促肾上腺皮质激素分泌综合征
trEktopik ACTH sekresyonuna bağlı Cushing sendromuEktopik Cushing sendromu · Ektopik ACTH-salgılayıcı tümör · Gizli ektopik ACTH sekresyonu · Paraneoplastik Cushing sendromu · Adrenokortikotropik hormon sekresyon sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10E24.3NTBTattributedvalidated
ICD-115A70.1Especificvalidated
MONDO0020527Evalidated
UMLSC0001231Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

83 annotations · validated 2021-10-22
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000819Diabetes mellitus
HP:0030200Fatiguable weakness of proximal limb muscles
HP:0003154Increased circulating ACTH level
HP:0003118Increased circulating cortisol level
HP:0012030Increased urinary cortisol level
HP:0003466Paradoxical increased cortisol secretion on dexamethasone suppression test
Frequent (79-30%)
HP:0012743Abdominal obesity
HP:0031845Abnormal libido
HP:0001626Abnormality of the cardiovascular system
HP:0001061Acne
HP:0008221Adrenal hyperplasia
HP:0000141Amenorrhea
HP:0000739Anxiety
HP:0025406Asthenia
HP:0000708Atypical behavior
HP:0000978Bruising susceptibility
HP:0025017Capillary fragility
HP:0031891Decreased eosinophil count
HP:0025383Dorsocervical fat pad
HP:0031364Ecchymosis
HP:0000712Emotional lability
HP:0001007Hirsutism
HP:0000953Hyperpigmentation of the skin
HP:0000822Hypertension
HP:0002721Immunodeficiency
HP:0004324Increased body weight
HP:0030348Increased circulating androgen concentration
HP:0001974Increased total leukocyte count
HP:0100785Insomnia
HP:0010284Intra-oral hyperpigmentation
HP:0001888Lymphopenia
HP:0500011Moon facies
HP:0001324Muscle weakness
HP:0000939Osteoporosis
HP:0001050Plethora
HP:0001058Poor wound healing
HP:0007126Proximal amyotrophy
HP:0001065Striae distensae
HP:0000963Thin skin
HP:0001956Truncal obesity
Occasional (29-5%)
HP:0002733Abnormality of the lymph nodes
HP:0002086Abnormality of the respiratory system
HP:0002039Anorexia
HP:0030446Atypical pulmonary carcinoid tumor
HP:0000716Depression
HP:0002014Diarrhea
HP:0031284Flushing
HP:0040270Impaired glucose tolerance
HP:0006749Malignant gastrointestinal tract tumors
HP:0002354Memory impairment
HP:0001658Myocardial infarction
HP:0100521Neoplasm of the thymus
HP:0100634Neuroendocrine neoplasm
HP:0000876Oligomenorrhea
HP:0030405Pancreatic endocrine tumor
HP:0012398Peripheral edema
HP:0000725Psychotic episodes
HP:0000979Purpura
HP:0011370Recurrent cutaneous fungal infections
HP:0000869Secondary amenorrhea
HP:0200042Skin ulcer
HP:0002209Sparse scalp hair
HP:0001297Stroke
HP:0031589Suicidal ideation
HP:0002953Vertebral compression fracture
HP:0001824Weight loss
Very rare (<4-1%)
HP:0000726Dementia
HP:0500167Hypergastrinemia
HP:0002865Medullary thyroid carcinoma
HP:0006753Neoplasm of the stomach
HP:0006725Pancreatic adenocarcinoma
HP:0100757Pancreatoblastoma
HP:0025269Panic attack
HP:0011999Paranoia
HP:0010741Pedal edema
HP:0002666Pheochromocytoma
HP:0012125Prostate cancer
HP:0000709Psychosis
HP:0030445Pulmonary carcinoid tumor
HP:0030357Small cell lung carcinoma
HP:0006722Small intestine carcinoid
Excluded (0%)
HP:0002690Large sella turcica
HP:0008291Pituitary corticotropic cell adenoma

Run the differential on the 6 obligate / very frequent terms

Annotation source: 27974908[PMID]_27104844[PMID]_33329407[PMID]_28341725[PMID]_31038596[PMID]_26018709[PMID]_25353285[PMID]_32785672[PMID]

7

Sources for this card