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A Case of Isolated ACTH Deficiency Manifestated by Atrial Fibrillation and Hypoglycemia / 대한내분비학회지
Journal of Korean Society of Endocrinology ; : 646-651, 1998.
Artigo em Coreano | 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.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Hipófise / Potássio / Fibrilação Atrial / Sódio / Glicemia / Encéfalo / Hidrocortisona / Imageamento por Ressonância Magnética / Doença de Addison / Hiperpigmentação Limite: Idoso / Aged80 / Feminino / Humanos Idioma: Coreano Revista: Journal of Korean Society of Endocrinology Ano de publicação: 1998 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Hipófise / Potássio / Fibrilação Atrial / Sódio / Glicemia / Encéfalo / Hidrocortisona / Imageamento por Ressonância Magnética / Doença de Addison / Hiperpigmentação Limite: Idoso / Aged80 / Feminino / Humanos Idioma: Coreano Revista: Journal of Korean Society of Endocrinology Ano de publicação: 1998 Tipo de documento: Artigo