Abstract:
OBJECTIVE:To our knowledge, no case of remission in autoimmune Addison's disease has previously been reported. We describe a patient with primary adrenal insufficiency caused by autoimmune adrenalitis in whom partial remission was observed after 7 yr. CASE:A 39-yr-old male was referred because of extreme fatigue, weight loss, anorexia, nausea, and bouts of fever. During physical examination hyperpigmentation was seen. Laboratory tests showed a plasma cortisol of 0.02 micromol/l (08:30 h). Cortisol failed to increase during the ACTH stimulation test (0.02 to 0.03 micromol/l) and ACTH was markedly elevated (920 pmol/l). Adrenal auto-antibodies were weakly positive. A CT-scan showed no evidence of calcifications or other abnormalities of the adrenal glands. The diagnosis of autoimmune Addison's disease was made and replacement therapy with hydrocortisone and fludrocortisone was started. During the following years the dose of hydrocortisone was gradually decreased. Eventually, the patient decided to stop his medication completely. A repeated ACTH-stimulation test revealed a basal cortisol of 0.25 micromol/l and a peak cortisol of 0.30 micromol/l with a basal ACTH of 178 pmol/l. The patient did not have any complaints. CONCLUSION:Recovery of adrenal insufficiency, due to causes other than autoimmune adrenalitis, has been reported in the past. If our case of partial recovery of autoimmune adrenalitis is not unique this could have profound effects on treatment and follow-up of Addison's disease.
journal_name
J Endocrinol Investjournal_title
Journal of endocrinological investigationauthors
Smans LC,Zelissen PMdoi
10.1007/BF03345623subject
Has Abstractpub_date
2008-07-01 00:00:00pages
672-4issue
7eissn
0391-4097issn
1720-8386pii
4751journal_volume
31pub_type
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journal_title:Journal of endocrinological investigation
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journal_title:Journal of endocrinological investigation
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doi:10.1007/BF03347294
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abstract::Not only thyroid adenomas and carcinomas, but also the majority of single and well delimited goiter nodules, even if morphologically heterogeneous, are of clonal origin. However, it is still unknown whether the nodules of rapidly growing, recurrent goiters are clonal or polyclonal. We investigated by PCR-based analysi...
journal_title:Journal of endocrinological investigation
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doi:10.1007/BF03350774
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journal_title:Journal of endocrinological investigation
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doi:
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journal_title:Journal of endocrinological investigation
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of endocrinological investigation
pub_type: 杂志文章
doi:10.1007/BF03348753
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pub_type: 杂志文章,评审
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更新日期:2005-02-01 00:00:00
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journal_title:Journal of endocrinological investigation
pub_type: 杂志文章
doi:10.1007/BF03347807
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journal_title:Journal of endocrinological investigation
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1991-12-01 00:00:00
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journal_title:Journal of endocrinological investigation
pub_type: 杂志文章,meta分析
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journal_title:Journal of endocrinological investigation
pub_type: 杂志文章
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journal_title:Journal of endocrinological investigation
pub_type: 杂志文章,评审
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doi:10.1007/BF03348270
更新日期:1980-07-01 00:00:00
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journal_title:Journal of endocrinological investigation
pub_type: 杂志文章
doi:10.1007/BF03347834
更新日期:1995-05-01 00:00:00
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更新日期:1987-02-01 00:00:00
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journal_title:Journal of endocrinological investigation
pub_type: 杂志文章
doi:10.1007/s40618-018-0905-1
更新日期:2019-02-01 00:00:00
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journal_title:Journal of endocrinological investigation
pub_type: 杂志文章,随机对照试验
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更新日期:2012-01-01 00:00:00
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更新日期:2015-08-01 00:00:00
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journal_title:Journal of endocrinological investigation
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1987-10-01 00:00:00
abstract::The Authors have studied the effects of somatostatin (SRIF) treatment in an infant affected by hypoglycemia due to nesidioblastosis. During iv infusion with SRIF we observed a marked increase of blood glucose levels; concomitantly insulin secretion was almost completely suppressed. In contrast, during treatment with p...
journal_title:Journal of endocrinological investigation
pub_type: 杂志文章
doi:10.1007/BF03350454
更新日期:1981-04-01 00:00:00
abstract::Subclinical hypothyroidism (SH) is a common clinical problem, particularly in adulthood and the elderly. Its prevalence is conditioned by several etiological and risk factors. The highest age- and sex-specific rates are in women over 60. SH may be associated with manifestations of mild thyroid failure, which may rever...
journal_title:Journal of endocrinological investigation
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更新日期:2008-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/BF03350038
更新日期:1989-11-01 00:00:00