Leroith D, Broitman D, Sukenik S, Glick S M
Isr J Med Sci. 1980 Jun;16(6):440-3.
The unusual combination of isolated deficiency of ACTH secretion and primary hypothyroidism was demonstrated in a 72-year-old man. Antidiuretic hormone (ADH) levels were elevated despite severe hyponatremia. This abnormality was corrected by salt replacement and hydrocortisone therapy. These results suggest that the elevated ADH levels were appropriate for the volume depletion caused by the hypoadrenalism and were not related to the hypothyroidism.
一名72岁男性被证实存在促肾上腺皮质激素（ACTH）分泌孤立性缺乏与原发性甲状腺功能减退的不寻常组合。尽管存在严重低钠血症，但抗利尿激素（ADH）水平仍升高。通过补充盐分和氢化可的松治疗纠正了这一异常。这些结果表明，ADH水平升高与肾上腺皮质功能减退引起的容量耗竭相适应，与甲状腺功能减退无关。
