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Case Reports
. 1990 Jul-Aug;81(7-8):499-501.

[Isolated ACTH deficiency: description of a clinical case]

[Article in Italian]
W Spagnolli  1 , G De Venuto, M Mattarei, C Ramponi, M Dal Follo, R Miori
Affiliations
  • PMID: 2174182
Case Reports

[Isolated ACTH deficiency: description of a clinical case]

[Article in Italian]
W Spagnolli et al. Recenti Prog Med. 1990 Jul-Aug.

Abstract

A 34-year man was admitted to the hospital with symptoms of hypoglycemia. The endocrine investigations indicated adrenocortical insufficiency secondary to isolated ACTH deficiency: low ACTH and cortisol plasma levels, significant increase of cortisol following prolonged stimulation with depot tetracosactrin, normal secretory reserve of other anterior pituitary hormones. The absence of ACTH-response after corticotropin releasing hormone and insulin tolerance tests suggested a primary impairment of corticotropin cells.

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