| A Case of Addison's Disease. |
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In Hoon Lee, H. D. Lee, Hee Ju Jeon, Chan Yung Kim |
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Department of Pediatrics, College of Medicine Pusan National University, Pusan, Korea |
| 소아 Addison병 1례 |
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이인훈, 이형두, 전희주, 김찬영 |
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부산대학교 의과대 학 소아과학교실 |
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Received: 18 April 1988 • Accepted: 24 June 1988 |
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| Abstract |
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A 9-year-old girl with Addison’s disease without other endocrine disorder presented with a brief
review of the literature.
The patient was transferee! to our hospital because of darkish brown pigmentation of whole body
and generalized weakness which had misunderstood cyanotic heart disease.
On physical examination, she was poorly nourished and below 10 percentile in weight and height.
Skin and mucous membrane were diffusely darkish brown, especially over the face, fingertips, toetips
and gingiva. Laboratory studies showed low serum cortisol, high ACTH concentration, low Na/K
ratio and low 24 hours urinary 17-hydroxycorticoids, but 8 hours intravenous ACTH stimulation test
failed to rise the plasma cortisol and 24 hours urinary 17-hydroxycorticoids level. |
| Key Words:
Addison’s disease, Chronic adrenal insufficiency |
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