[Fatigue and anemia].
We herein report on an 80-year old male patient with a history of muscle weakness, fatigue and weight loss since several months. Because of a pathologic synacthen test in combination with decreased levels of ACTH, we diagnosed a secondary chronic adrenal insufficiency. Because of a normochromic, normocytic, and hypo-proliferative anemia, bone marrow puncture was performed, showing an anemia of chronic disease. We initiated hydrocortisone and anemia and patients' symptoms were fully reconstituted.
Ivanova
K
K
Medizinische Poliklinik, Universitätsspital Basel. IvanovaK@uhbs.ch
Zeller
A
A
D000224:Addison Disease / Q000175:diagnosis*; D000369:Aged, 80 and over; D000465:Algorithms; D000740:Anemia / Q000209:etiology*; D003937:Diagnosis, Differential; D005221:Fatigue / Q000209:etiology*; D006801:Humans; D008297:Male