AI Article Synopsis

  • Isolated ACTH deficiency is a rare condition that causes secondary adrenal insufficiency, and its occurrence with adrenal crisis is uncommon.
  • Acute adrenal insufficiency can be challenging to diagnose, especially in patients who haven't been previously identified, leading to potential misdiagnoses.
  • In this case, the patient experienced an adrenal crisis characterized by acute abdominal pain, which was incorrectly diagnosed as a surgical issue, delaying critical treatment.

Article Abstract

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4953810PMC
http://dx.doi.org/10.7861/clinmedicine.13-5-520DOI Listing

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