Case Reports
Vol. 2 No. 3 (2008)
https://doi.org/10.4081/itjm.2008.3.30

A case of suspect cyanosis

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Received: 2 May 2013
Published: 3 May 2013
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Hyperpigmentation, Congenital heart disease, Tuberculosis, Addison’s disease.

Authors

Elisabetta Antonucci
paola.granata@pagepress.org
, .
Matteo Conte
, .
Michele Di Pumpo
, .
Giuseppe Antonucci
, .
CLINICAL CASE A 70-year old woman was admitted to our hospital because of fever, asthenia and a suspected stroke. Her medical history showed a congenital cardiopathy (Patent Foramen Ovale, PFO). Skin and oral mucosa pigmentation, orthostatic hypotension, hypoglycemia and hyponatriemia arose the suspect of Addison's disease. The diagnosis was confirmed by the evaluation of basal levels of plasma ACTH and serum cortisol, and serum cortisol levels after ACTH stimulation. Abdominal CT scan showed atrophy and calcification of adrenal glands.
CONCLUSIONS In most cases, Addison's disease is provoked by autoimmune destruction of the adrenal cortex; however, in our reported patient, tuberculosis could be a possible cause.

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A case of suspect cyanosis. (2013). Italian Journal of Medicine, 2(3), 30-33. https://doi.org/10.4081/itjm.2008.3.30

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