A Case of Isolated ACTH Deficiency Manifestated by Atrial Fibrillation and Hypoglycemia / 대한내분비학회지
Journal of Korean Society of Endocrinology
;
: 646-651, 1998.
Article
Dans Coréen
| WPRIM
| ID: wpr-23007
ABSTRACT
Isolated ACTH deficiency is a rare cause of secondary adrenocortical insufficiency caused by the defect of synthesis or release of ACTH in pituitary gland. The clinical presentation can be simiilar to that of primary adrenal insufficiency, but there is a greater tendency for hypoglycemia and absence of hyperpigmentation. The patient, 80 year-old female, was admitted in chief complaint of deteriorated mental states. On admission, serum sodium was 127mEq/L, potassium 4.4mEq/L, blood glucose 27mg/dL and on routine E.C.G. was atrial fibrillation was revealed. The basal morning serum cortisol level was 9.97 pg/dL it dosent respond to insulin-induced hypoglycemia enoughly, but other pituitary functions were intact in pituitary cocktail stimulation test. In CRH stimulation test, there was no remarkable response in serum ACTH and cortisol level. Brain MRI failed to reveal any anatomic abnormalities of the sellar or suprasellar area consistent with the defect of pituitary ACTH secretion. This case was a isolated ACTH deficiency, So, we conclude that associated with atrail fibrillation and hypoglycemia.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Hypophyse
/
Potassium
/
Fibrillation auriculaire
/
Sodium
/
Glycémie
/
Encéphale
/
Hydrocortisone
/
Imagerie par résonance magnétique
/
Maladie d'Addison
/
Hyperpigmentation
Limites du sujet:
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
langue:
Coréen
Texte intégral:
Journal of Korean Society of Endocrinology
Année:
1998
Type:
Article
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