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2016 ; 55
(20
): 2975-2978
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Treatable Bedridden Elderly -Recovery from Flexion Contracture after Cortisol
Replacement in a Patient with Isolated Adrenocorticotropic Hormone Deficiency
#MMPMID27746435
Tanaka T
; Terada N
; Fujikawa Y
; Fujimoto T
Intern Med
2016[]; 55
(20
): 2975-2978
PMID27746435
show ga
Isolated adrenocorticotropic hormone deficiency (IAD) is a rare disorder with
diverse clinical presentations. A 79-year-old man was bedridden for six months
due to flexion contractures of the bilateral hips and knees, along with
hyponatremia. He was diagnosed with IAD based on the results of endocrine tests.
After one month of corticosteroid replacement, he recovered and was able to stand
up by himself. Although flexion contracture is a rare symptom of IAD, steroid
replacement therapy may be effective, even for seemingly irreversibly bedridden
elderly patients. In bedridden elderly patients with flexion contractures, we
should consider and look for any signs of adrenal insufficiency.
|*Leg
[MESH]
|Adrenocorticotropic Hormone/*deficiency
[MESH]
|Aged
[MESH]
|Anti-Inflammatory Agents/*therapeutic use
[MESH]
|Contracture/*drug therapy/etiology
[MESH]
|Endocrine System Diseases/complications/*diagnosis/*drug therapy
[MESH]