J Korean Soc Pediatr Endocrinol.  1998 May;3(1):79-83.

A Case of Hypocortisolemia Presented by Short Stature

• Choi MY
• Shin SH
• Shin JH
• Kim JW
• Lee YA
• Choi HJ
• Yoon HS
• Oh PS

Abstract

Isolated ACTH deficiency is a rare cause of secondary adrenocortical insufficiency. The clinical presentation can be similar to that of primary adrenal insufficiency, but most of them may be nonspecific. A female patient of 25 months of age, complainig short stature, showed hypocortisolemia without ACTH & cortisol stimulation by insulin-induced hypoglycemia test. All the other hormone state was normal. Left hand AP view revealed delayed bone age(3 month) compared with chronological age. No radiologic abnormality was found in sella MRI and adrenal CT. Here we report a case of isolated ACTH deficiency presented by short stature.

Keyword

Isolated ACTH deficiency; Short stature; Hypocortisolemia

MeSH Terms

Addison Disease
Adrenocorticotropic Hormone
Female
Hand
Humans
Hydrocortisone
Hypoglycemia
Magnetic Resonance Imaging
Adrenocorticotropic Hormone
Hydrocortisone