Shapiro M S, Trebich C, Shilo L, Shenkman L
Department of Medicine C, Meir Hospital, Sapir Medicial Center, Kfar Sava, Israel.
Postgrad Med J. 1988 Mar;64(749):222-3. doi: 10.1136/pgmj.64.749.222.
Severe generalized myalgias and muscle contractures of the lower extremities were the major initial manifestations of adrenal insufficiency in a 26 year old black male. The intensity of increased skin pigmentation was not fully appreciated until the patient's skin colour was compared to that of his brother. Replacement with physiological doses of gluco- and mineralocorticoids was associated with complete amelioration of symptomatology.
一名26岁黑人男性肾上腺功能不全的主要初始表现为严重的全身性肌痛和下肢肌肉挛缩。直到将患者的肤色与他兄弟的肤色进行比较,才充分认识到皮肤色素沉着增加的程度。给予生理剂量的糖皮质激素和盐皮质激素替代治疗后,症状完全缓解。