al Sabri A M, Smith N, Busuttil A
Forensic Medicine Unit, University of Edinburgh Medical School, Scotland.
Int J Legal Med. 1997;110(5):278-80. doi: 10.1007/s004140050085.
A 12-year-old female suffering from adrenocortical insufficiency showed symptoms similar to a gastro-enteritis, and severe electrolytic and acid/base disturbances which progressed into cerebral oedema and death. Autopsy findings included depletion of the adrenal cortex, with enlargement and eosinophilia of surviving cells. In ante-mortem blood, anti-adrenal auto-antibodies were found and elevated levels of ACTH and cortisol with a low level of aldosterone.
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