Adrenocortical insufficiency with normal serum cortisol levels and hyporeninaemia in a patient with acquired immunodeficiency syndrome (AIDS).

Abstract:

:The acquired immunodeficiency syndrome (AIDS) has been associated with abnormalities of adrenocortical function, and hypoaldosteronism due to hyporeninaemic hypoaldosteronism (HHA). We here report the case of a woman with AIDS associated with orthostatic hypotension, persistent hyponatraemia and hyperkalaemia, in whom basal serum cortisol levels were normal and serum renin activity was low. Subsequent post-mortem examination revealed almost complete adrenocortical destruction. A possible explanation of this apparently contradictory combination of findings is discussed, together with the therapeutic implications for similar cases.

journal_name

J Intern Med

authors

Cobbs R,Pepper GM,Torres JG,Gruenspan HL

doi

10.1111/j.1365-2796.1991.tb00427.x

subject

Has Abstract

pub_date

1991-08-01 00:00:00

pages

179-81

issue

2

eissn

0954-6820

issn

1365-2796

journal_volume

230

pub_type

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