A Rare Symptom And An Important Disease:Hyperpigmentation And Primary Adrenal Insufficiency

dc.contributor.authorAltuncı, Yusuf Ali
dc.contributor.authorYalçınlı, Sercan
dc.contributor.authorEfe, Mehmet
dc.date.accessioned2023-01-12T20:36:51Z
dc.date.available2023-01-12T20:36:51Z
dc.date.issued2020
dc.departmentN/A/Departmenten_US
dc.description.abstractAim Clinical symptoms of adrenal insufficiency are nonspecific and thus misdiagnosis is common. Hyperpigmentation is a specific finding for the diagnosis of primary adrenal insufficiency. This case report is presented to emphasize the importance of the presence of hyperpigmentation in the definition of primary adrenal insufficiency.CaseA 66-year-old male with no previous history of disease presented to our emergency department with complaints of weakness, nausea, and vomiting. On his initial evaluation, blood pressure was 71/55 mmHg. Physical examination revealed darkening of skin color and increased pigmentation on hands and tongue. There were no other significant findings on physical examination. The laboratory findings of the patient were: Adrenocorticotropic hormone (ACTH)>1250 pg/mL (reference value: <46), cortisol 0.54 ?g/dL (reference value: 4.82-19.5). The patient was hospitalized with the diagnosis of primary adrenal insufficiency.ConclusionIn cases where hyperpigmentation, nausea, vomiting, and weakness accompanying unexplained hypotension, the diagnosis of primary adrenal insufficiency should be kept in mind.en_US
dc.identifier.endpage20en_US
dc.identifier.issn2651-4311
dc.identifier.issue1en_US
dc.identifier.startpage18en_US
dc.identifier.trdizinid496378en_US
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/496378
dc.identifier.urihttps://hdl.handle.net/11454/81464
dc.identifier.volume3en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofAnatolian Journal of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjecthyperpigmentationen_US
dc.subjecthypotensionen_US
dc.subjectAdrenal insufficiencyen_US
dc.titleA Rare Symptom And An Important Disease:Hyperpigmentation And Primary Adrenal Insufficiencyen_US
dc.typeArticleen_US

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