Suzuki Satoshi, Suzuki Keiko
Department of General Internal Medicine, Asahikawa City Hospital, Japan.
Intern Med. 2017;56(15):1981-1985. doi: 10.2169/internalmedicine.56.6792. Epub 2017 Aug 1.
The delayed diagnosis of adrenal insufficiency is relatively common because its symptoms are non-specific. One of the causes of adrenal insufficiency is isolated adrenocorticotropic hormone deficiency (IAD), which is sometimes caused by traumatic brain injury. Indeed, severe head trauma is considered to contribute to the incidence of this disease. However, the relationship between milder head trauma-such as chronic subdural hematoma - and the occurrence of hormonal deficiency is uncertain. We herein report the case of a 79-year-old man with IAD who presented with leg edema and pain in his extremities following a recent history of chronic subdural hematoma.
肾上腺功能不全的延迟诊断相对常见，因为其症状不具有特异性。肾上腺功能不全的病因之一是孤立性促肾上腺皮质激素缺乏症（IAD），其有时由创伤性脑损伤引起。确实，严重头部创伤被认为会导致这种疾病的发生。然而，较轻的头部创伤（如慢性硬膜下血肿）与激素缺乏症的发生之间的关系尚不确定。我们在此报告一例79岁患有IAD的男性病例，该患者在近期有慢性硬膜下血肿病史后出现腿部水肿和四肢疼痛。
