Adrenal crisis presenting as hypoglycemic coma.

Détails

ID Serval
serval:BIB_737EB27C92EF
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Adrenal crisis presenting as hypoglycemic coma.
Périodique
Intensive care medicine
Auteur(s)
Fischer J.E., Stallmach T., Fanconi S.
ISSN
0342-4642
Statut éditorial
Publié
Date de publication
2000
Peer-reviewed
Oui
Volume
26
Numéro
1
Pages
105-8
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article - Publication Status: ppublish
Résumé
An 18-month-old male infant presented with hypoglycemic coma and clinical signs of bronchopneumonia. He was suspected of suffering from septic shock. The patient progressed to irreversible multiple organ failure before the diagnosis of adrenal crisis was established. Plasma levels of ACTH and cortisol remained undetectable. Renin and aldosterone were normal. An autopsy failed to demonstrate any adrenal gland cortical tissue. Immunohistochemical staining demonstrated the presence of all pituitary hormones except ACTH, establishing the diagnosis of isolated ACTH deficiency. Intensive care clinicians should consider adrenal crisis in non-diabetic children with hypoglycemia and rapid circulatory deterioration.
Mots-clé
Adrenal Cortex, Adrenocorticotropic Hormone, Coma, Fatal Outcome, Glucose, Humans, Hypoglycemia, Infant, Male
Pubmed
Web of science
Création de la notice
25/01/2008 11:06
Dernière modification de la notice
03/03/2018 18:19
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