The clinical investigations vary somewhat between cases as the four patients presented in markedly different ways. [onlinelibrary.wiley.com]

[…] adrenocorticotropic hormone deficiency potentially induced by nivolumab following pseudo-progression in clear cell renal cell carcinoma: A case report. ( 30680212 ) Furubayashi N...Nakamura M 2019 3 Idiopathic and isolated adrenocorticotropic hormone deficiency presenting [malacards.org]

The numbered bands specify the location of the thousands of genes that are present on each chromosome. [rarediseases.org]

• Nausea

  Symptoms include weight loss, lack of appetite (anorexia), muscle weakness, nausea and vomiting, and low blood pressure (hypotension). [rarediseases.org]

• Normal Hair

  Although males with this disorder usually have a normal hair pattern, females may have very little pubic and underarm (axillary) hair. In contrast to Addison’s disease, skin pigmentation usually remains normal. [rarediseases.org]

• Long Arm

  CRH ) gene on the long arm of chromosome eight (8q13). [rarediseases.org]

• Short Arm

  Each chromosome has a short arm designated “p” and a long arm designated “q”. Chromosomes are further sub-divided into many bands that are numbered. [rarediseases.org]

• Flexion Contracture

  Contracture after Cortisol Replacement in a Patient with Isolated Adrenocorticotropic Hormone Deficiency. ( 27746435 ) Tanaka T...Fujimoto T 2016 18 A case of isolated adrenocorticotropic hormone deficiency: a rare but possible cause of hypercalcemia [malacards.org]

• Psychomotor Retardation

  retardation. ( 17587281 ) Nozue H...Ichikawa K 2007 35 Isolated adrenocorticotropic hormone deficiency presenting with delirium. ( 17728437 ) Nemoto K...Asada T 2007 36 The TPIT gene mutation M86R associated with isolated adrenocorticotropin deficiency [malacards.org]

• Impulsivity

  Clinical findings showed a pale, waxing-colored skin and a disorder of impulse. During the clinical stay the patient's behavior was slowed down and adynamic. [ncbi.nlm.nih.gov]

Such treatment does not negate the results of the test, and blood sampling should continue until the completion of the study. The glucagon stimulation test is one last convenient test that may be used. [medscape.com]

TREATMENT AND COURSE: Under therapy with hydrocortisone 20 mg and fludrocortisone 0.05 mg orally the clinical symptoms of the patient improved impressively. The patient became efficient and dynamic. [ncbi.nlm.nih.gov]

Standard Therapies Treatment Hormone replacement therapy with cortisol is the treatment of choice for this disorder. With such therapy, patients can lead a normal life. [rarediseases.org]

Discussion SCLC is an aggressive malignancy with rapid progression and poor prognosis. [dovepress.com]

Another possible etiology is autoimmune disease. [dovepress.com]

VIVO Pathophysiology Congenital adrenal hyperplasias (CAH) are a group of heritable disorders associated with an inability or deficiency in the ability to produce cortisol. [vivo.colostate.edu]

This not only alleviates glucocorticoid (i.e. cortisol) deficiency, but more importantly, provides negative feedback to suppress ACTH secretion and prevent continued adrenal stimulation. [vivo.colostate.edu]

However, in this publication, there was no mention of previous steroid treatment, which prevents one from drawing any clear conclusion. [em-consulte.com]

Appropriate and prompt treatment should be taken to prevent life-threatening adrenocortical crisis. Ethics approval We confirm that written informed consent was provided by the patient to have the case details and any accompanying images published. [dovepress.com]