Seltene Ursache einer primären Nebennierenrindeninsuffizienz – Fall 6/2011
F Blaschka, M Synofzik, L Schöls, I Rau, A Gal, K Müssig · DMW - Deutsche Medizinische Wochenschrift · 2011 · Heft 24 · S. 1316
Bibliografische Angaben
Zusammenfassung
Abstract HISTORY AND ADMISSION FINDINGS: A 48-year-od patient (case 1) with progressive stiffness and weakness of the legs and urge incontinence and a 38-year-old patient (case 2) with primary adrenal insufficiency and familial occurrence of adrenoleukodystrophy (ALD) presented for further evaluation. INVESTIGATIONS: Laboratory values in case 1 revealed primary adrenal insufficiency (decreased cortisol and increased corticotropin) and increase of the very long chain fatty acids (VLCFA). Clinical examination revealed paraspasticity and neurography showed demyelinating motor neuropathy of the lower extremities. Ca…