An Unusual Cause of Hypertension and Hypokalemia: ACTH-Producing Pulmonary Carcinoid

Pulmonary carcinoids are slow-growing tumors contributing to 2% of primary lung tumors.Endocrine manifestations like adrenocorticotropic hormone (ACTH) production from carcinoids account for 1% of all cases of cushing syndrome. 1A 32-year-old male presented with poorly controlled hypertension, recurrent hypokalemia and fatigue.He experienced trouble climbing stairs, noticed easy bruising, truncal obesity, decreased libido, hair thinning, and new abdominal wall stretch marks.He had round facies, facial plethora, dorsal cervical fat prominence, and wide violaceous striae on the abdomen and axillary areas.