Isolated ACTH Deficiency Presenting with a Glucocorticoid-Responsive Triphasic Wave Coma
نویسندگان
چکیده
منابع مشابه
Isolated ACTH deficiency.
Isolated ACTH is a rare cause of secondary adrenocortical insufficiency. The diagnosis is made by the demonstration of low cortisol production with low plasma ACTH, absent adrenal responses to stimulation for pituitary or hypothalamus with intact adrenal response to exogenous ACTH, and normal secretory indices of other pituitary hormones. We conclude that the diagnosis of this condition may be ...
متن کامل[A case of isolated ACTH deficiency with dementia].
We encountered a patient with siolated ACTH deficiency accompanying dementia. A 69-year old man was admitted because of abdominal pain. A decrease of serum Na level (114mEq/l) due to increased urinary Na excretion suggested the existence of adrenal insufficiency. While serum cortisol and urinary 17-OHCS, 17-KS excretions were reduced, plasma ACTH level remained below the normal range. Since dai...
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We present a 42-year-old woman with concomitant transient hypothyroidism due to Hashimoto's thyroiditis, autoimmune hepatitis and isolated ACTH deficiency. Two months after ceasing prednisolone (5 mg/day) for uveitis, she was discovered incidentally to have liver dysfunction with hypergammaglobulinemia, later diagnosed as autoimmune hepatitis by histological examination of the biopsied liver. I...
متن کاملT-box and isolated ACTH deficiency.
The organogenesis of the pituitary gland has provided several insights into molecular mechanisms and regulatory factors controlling both differentiation and gene transcription. Different pituitary transcription factors are involved in the commitment, development and cell differentiation of the gland. The control of pituitary cell differentiation has been shown to depend on a limited set of line...
متن کاملIsolated adrenocorticotrophic hormone (ACTH) deficiency associated with acute adrenal crisis.
A 37 year old black female presented with congestive cardiac failure, 2 months postpartum. She developed spontaneous hypoglycaemia and symptoms of acute adrenal crisis (hypotension, nausea, abdominal pain and tachycardia with small thready pulse), which responded to i.v. dextrose, sodium chloride and hydrocortisone. Biochemical investigations revealed low serum cortisol and plasma adrenocortico...
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ژورنال
عنوان ژورنال: Internal Medicine
سال: 2012
ISSN: 0918-2918,1349-7235
DOI: 10.2169/internalmedicine.51.7469