Forfar J C
Postgrad Med J. 1979 Sep;55(646):573-4. doi: 10.1136/pgmj.55.646.573.
A patient under treatment for chronic lymphocytic leukaemia developed lobar pneumonia after 8 months. When antileukaemic therapy was discontinued, features of an ectopic ACTH syndrome developed, secondary to bronchogenic carcinoma. Exogenous steroid therapy for leukaemia seemed to suppress the clinical manifestations of the ectopic ACTH syndrome while subsequent endogenous steroid production controlled the peripheral lymphocyte count.
一名接受慢性淋巴细胞白血病治疗的患者在8个月后发生了大叶性肺炎。当抗白血病治疗中断时,继发于支气管源性癌的异位促肾上腺皮质激素(ACTH)综合征的特征出现。白血病的外源性类固醇治疗似乎抑制了异位ACTH综合征的临床表现,而随后的内源性类固醇产生控制了外周淋巴细胞计数。