A young man with a dizzy spell and acute abdominal pain

Isolated adrenocorticotropic hormone (ACTH) deficiency is a rare cause of secondary adrenal insufficiency and its presentation with adrenal crisis is rather rare. Acute adrenal insufficiency (adrenal crisis) can be an elusive diagnosis, particularly in previously undiagnosed patients. As in this pat...

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Published inClinical medicine (London, England) Vol. 13; no. 5; pp. 520 - 521
Main Authors Elasha, Hassan Mohamed Saeed, Anjum, Farees, Almalki, Mussa H
Format Journal Article
LanguageEnglish
Published London Elsevier Ltd 01.10.2013
Royal College of Physicians
Subjects
Abdomen, Acute
Adrenal Cortex Hormones - therapeutic use
Adrenal Insufficiency - complications
Adrenal Insufficiency - diagnosis
Adrenal Insufficiency - drug therapy
Adult
Biological and medical sciences
Diagnosis, Differential
Dizziness
General aspects
Humans
Lesson of the Month
Magnetic Resonance Imaging
Male
Medical sciences
Thyroxine - therapeutic use
Human
Medicine
Pain
Acute
Young adult
Male
Abdomen
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Summary:Isolated adrenocorticotropic hormone (ACTH) deficiency is a rare cause of secondary adrenal insufficiency and its presentation with adrenal crisis is rather rare. Acute adrenal insufficiency (adrenal crisis) can be an elusive diagnosis, particularly in previously undiagnosed patients. As in this patient, the presentation of adrenal crisis with acute abdominal pain was misdiagnosed as an acute surgical abdomen, leading to a delay in the diagnosis and in the initiation of life saving treatment.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:1470-2118
1473-4893
DOI:10.7861/clinmedicine.13-5-520