RT Journal Article
SR Electronic
T1 A young man with a dizzy spell and acute abdominal pain
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 520
OP 521
DO 10.7861/clinmedicine.13-5-520
VO 13
IS 5
A1 Hassan Mohamed Saeed Elasha
A1 Farees Anjum
A1 Mussa H Almalki
YR 2013
UL http://www.rcpjournals.org/content/13/5/520.abstract
AB Isolated adrenocorticotropic hormone (ACTH) deficiency is a rare cause of secondary adrenal insufficiency and its presentation with adrenal crisis is rather rare. Acute adrenal insufficiency (adrenal crisis) can be an elusive diagnosis, particularly in previously undiagnosed patients. As in this patient, the presentation of adrenal crisis with acute abdominal pain was misdiagnosed as an acute surgical abdomen, leading to a delay in the diagnosis and in the initiation of life saving treatment.