Ntyonga-Pono Marie-Pierrette
Faculté de Médecine de Libreville, Libreville, Gabon.
Service d'Endocrinologie au Centre Hospitalier Universitaire de Libreville, Gabon.
Pan Afr Med J. 2018 Jan 30;29:93. doi: 10.11604/pamj.2018.29.93.14583. eCollection 2018.
Chronic adrenal insufficiency is regarded as a rare disease in its primary stage. However, secondary adrenal insufficiency, which essentially occurs after stopping corticosteroids, is more frequent, ranging from 4.2% to 60%, depending on the pathology treated, but it is often unrecognized. We report the case of a 66 year old female patient with a history of chronic fatigue for more than 2 years. The patient consulted several clinicians but symptoms were wrongly attributed to a depressive disorder rather than to adrenal corticotropic adrenal insufficiency.
慢性肾上腺功能不全在其初级阶段被视为一种罕见疾病。然而，继发性肾上腺功能不全，主要发生在停用皮质类固醇之后，更为常见，发生率在4.2%至60%之间，具体取决于所治疗的病理情况，但往往未被识别。我们报告一例66岁女性患者，有超过2年的慢性疲劳病史。该患者咨询了几位临床医生，但症状被错误地归因于抑郁症而非促肾上腺皮质激素性肾上腺功能不全。
