Endocrinol Metab > Volume 26(3); 2011 > Article
Endocrinology and Metabolism 2011;26(3):253-257.
DOI: https://doi.org/10.3803/EnM.2011.26.3.253    Published online September 1, 2011.
A Case of Primary Adrenal Insufficiency in a Patient with Acquired Immunodeficiency Syndrome.
Jae Ho Choi, Suk Chon, Yu Chul Hwang, Jun Seong Son, Seung Joon Oh, Kyu Jeung Ahn, Ho Yeon Chung, Jeong Taek Woo, Sung Woon Kim, Jin Woo Kim, Young Seol Kim, In Kyung Jeong
1Department of Endocrinology and Metabolism, College of Medicine, Kyung Hee University, Seoul, Korea. jik1016@khu.ac.kr
2Department of Infection, College of Medicine, Kyung Hee University, Seoul, Korea.
Abstract
The adrenal gland is the most commonly involved endocrine organ in patients infected with the human immunodeficiency virus (HIV). Adrenal function abnormality is more common in HIV patients than in the general population. It is important to recognize the condition of adrenal insufficiency, as this adrenal disorder may prove fatal if left untreated. Herein, we report a case of primary adrenal insufficiency in a 37-year-old male patient with acquired immunodeficiency syndrome. The patient complained of fever, general weakness, and fatigue. Impaired adrenal function was noted in the rapid ACTH stimulation test. After steroid supplementation, the patient's symptoms were improved. Therefore, HIV care physicians should ascertain adrenal dysfunction in HIV patients when they complain of fever and general weakness.
Key Words: Adrenal insufficiency, Cortisol, Human immunodeficiency virus


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