title: Isolated ACTH deficiency.
abstract: Isolated ACTH is a rare cause of secondary adrenocortical insufficiency. The diagnosis is made by the demonstration of low cortisol production with low plasma ACTH, absent adrenal responses to stimulation for pituitary or hypothalamus with intact adrenal response to exogenous ACTH, and normal secretory indices of other pituitary hormones. We conclude that the diagnosis of this condition may be difficult due to the varied clinical presentation and etiologies.
authors.affiliation: Department of Endocrinology, Ha Ramón y Cajal, University of Alcalá de Henares, Madrid, Spain. daniel.deluis@hrc.es
authors.forename: D A
authors.initials: DA
authors.lastname: de Luis
authors.forename: R
authors.initials: R
authors.lastname: Aller
authors.forename: E
authors.initials: E
authors.lastname: Romero
mesh_terms: D000309:Adrenal Insufficiency / Q000097:blood / Q000175:diagnosis; D000324:Adrenocorticotropic Hormone / Q000097:blood* / Q000172:deficiency*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D000324:Adrenocorticotropic Hormone