Black R M, Daniels G H, Coggins C H, Mueller P R, Data R E, Lichtenstein N
Acta Endocrinol (Copenh). 1981 Dec;98(4):586-91. doi: 10.1530/acta.0.0980586.
A case of adrenal insufficiency secondary to metastatic colonic carcinoma is reported. Because the patient was taking prednisone for an unrelated condition, his initial presentation mimicked isolated aldosterone deficiency with an elevated serum potassium of 8.7 mmol/l. Cortisol deficiency was documented by ACTH testing. The diagnosis of metastatic disease causing adrenal insufficiency was suspected after a computed body scan of the abdomen revealed marked bilateral adrenal enlargement. Adrenal insufficiency secondary to metastatic cancer is reviewed.
报告了一例继发于转移性结肠癌的肾上腺功能不全病例。由于该患者因无关疾病正在服用泼尼松，其最初表现类似于单纯醛固酮缺乏，血清钾升高至8.7 mmol/l。促肾上腺皮质激素（ACTH）检测证实存在皮质醇缺乏。腹部计算机体层扫描显示双侧肾上腺明显增大后，怀疑是转移性疾病导致肾上腺功能不全。对继发于转移性癌症的肾上腺功能不全进行了综述。
