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Secondary adrenocortical insufficiency complicated by marked hypercalcemia and eosinophilia: a case report.
- Source :
-
Journal of UOEH [J UOEH] 2015 Mar 01; Vol. 37 (1), pp. 55-60. - Publication Year :
- 2015
-
Abstract
- A 56 year old female was admitted to a local hospital after developing symptoms, including generalized fatigue, nausea and vomiting, from trauma. She was relocated to our hospital because she developed other symptoms, including disturbance of consciousness from hypercalcemia and a rash over her entire body. Her clinical symptoms (disturbance of consciousness, loss of appetite, nausea, vomiting, decrease in blood pressure, fever) and examination findings (low blood cortisol levels (1.2 μg/dl ), hypercalcemia (11.0 mg/dl ), peripheral blood eosinophilia (1,600 /μl )) lead to a diagnosis of adrenal insufficiency. In addition, a skin biopsy indicated eosinophilic infiltration, although her condition improved in the end with an oral dose of 30 mg/day of prednisolone. Hypercalcemia and peripheral blood eosinophilia are commonly known examination findings for adrenocortical insufficiency, but it is rare for either of these to be present as clinical symptoms.
- Subjects :
- Addison Disease drug therapy
Consciousness Disorders etiology
Diagnosis, Differential
Eosinophilia drug therapy
Exanthema etiology
Female
Humans
Hypercalcemia drug therapy
Middle Aged
Prednisolone administration & dosage
Treatment Outcome
Addison Disease complications
Addison Disease diagnosis
Eosinophilia etiology
Hypercalcemia etiology
Subjects
Details
- Language :
- English
- ISSN :
- 0387-821X
- Volume :
- 37
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of UOEH
- Publication Type :
- Academic Journal
- Accession number :
- 25787103
- Full Text :
- https://doi.org/10.7888/juoeh.37.55