Approach to the primary adrenal insufficiency caused by anti-phospholipid syndrome
10.3760/cma.j.cn311282-20200910-00629
- VernacularTitle:抗磷脂抗体综合征引发原发性肾上腺皮质功能不全的临诊应对
- Author:
Min WANG
1
;
Xueting QIU
;
Qiang WANG
;
Tao YANG
;
Min SUN
Author Information
1. 南京医科大学第一附属医院内分泌科 210029
- Keywords:
Primary adrenal insufficiency;
Anti-phospholipid syndrome;
Hemorrhagic adrenal infarction
- From:
Chinese Journal of Endocrinology and Metabolism
2021;37(9):830-835
- CountryChina
- Language:Chinese
-
Abstract:
The causes of primary adrenal insufficiency(PAI) are varying, however, anti-phospholipid syndrome (APS) is a relatively rare one. PAI lacks unique clinical manifestations, so the confirmation of PAI was easily to be neglected by physicians. We report a case with abdominal pain as the first complaint, followed by multiple infections, thrombotic events, and aggravating fatigue. Through a series of the laboratory examination, medical imaging, and pathology examination, this patient was diagnosed as PAI caused by APS. Combining this report with literature review, we aim to raise awareness of the disease and avoid misdiagnosis and missed diagnosis.
