title: [Primary adrenal insufficiency due to autoimmune adrenalitis].
abstract: We report a 10 years old boy, admitted with a history of asthenia, anorexia and weight loss of 4 kg. Initial laboratory work up showed metabolic acidosis and hyponatremia. The patient had no circadian rhythm of serum cortisol and an adrenal stimulation test confirmed the presence of adrenal insufficiency. Anti-adrenal antibodies were positive. Treatment with cortisol and fluorocortisone resulted in a complete remission of symptoms.
mesh_terms: D000303:Adrenal Cortex Diseases / Q000150:complications*; D000309:Adrenal Insufficiency / Q000175:diagnosis / Q000209:etiology*; D001323:Autoantibodies / Q000097:blood; D001327:Autoimmune Diseases / Q000150:complications*; D002648:Child; D005227:Fatty Acids / Q000032:analysis; D006801:Humans; D008297:Male; D010912:Pituitary-Adrenal Function Tests
chemical_list: D001323:Autoantibodies; D005227:Fatty Acids
vernacular_title: Insuficiencia suprarrenal primaria por adrenalitis autoimnume.