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BMJ Publishing Group, Postgraduate Medical Journal, 805(68), p. 935-936, 1992

DOI: 10.1136/pgmj.68.805.935-a

BMJ Publishing Group, Postgraduate Medical Journal, 800(68), p. 465-466, 1992

DOI: 10.1136/pgmj.68.800.465

BMJ Publishing Group, Postgraduate Medical Journal, 808(69), p. 165-165, 1993

DOI: 10.1136/pgmj.69.808.165-a

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Addisonian crisis presenting with a normal short tetracosactrin stimulation test.

Journal article published in 1992 by G. P. Butcher, M. Zambon, J. R. Walters ORCID, S. Patel, C. Selby, S. Moss, T. L. Dornan, W. J. Jeffcoate, O. M. Jolobe
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Abstract We report the case of a 70 year old man who presented with physical and biochemical features suggestive of Addison's disease, but had a normal short tetracosactrin (Synacthen) test. Six months later he re-presented with similar clinical features but with an abnormal response to tetracosactrin confirming the diagnosis of Addison's disease. We recommend that if adrenal insufficiency is strongly suggested further investigation should be performed to exclude this diagnosis.