Synchronous Diaphragmatic Flutter Occurring in Hypoparathyroidism

PEDIATRICS ◽  
1970 ◽  
Vol 46 (1) ◽  
pp. 131-134
Author(s):  
Frances W. Baker ◽  
Frederic M. Kenny ◽  
James R. Zuberbuhler

A 7-year-old patient with idiopathic hypoparathyroidism, Addison's disease, malabsorption, and unilateral diaphragmatic flutter synchronous with the heart beat (SDF) is reported. The flutter occurred shortly after the onset of malabsorption syndrome and disappeared after appropriate correction of serum magnesium, calcium, and Potassium levels. This unusual condition should be considered in the differential diagnosis of abdominal pulsations. The exact biochemical abnormalities that permit synchronous diaphragmatic flutter remain to be defined.

2012 ◽  
Vol 130 (6) ◽  
pp. 405-408 ◽  
Author(s):  
Rodrigo Antonio Brandão Neto ◽  
Jozélio Freire de Carvalho

CONTEXT: Erythema induratum of Bazin (EIB) is considered to be a tuberculid reaction and consists of recurrent painful nodules. The differential diagnosis includes diseases like nodular vasculitis, perniosis, polyarteritis nodosa and erythema nodosum. CASE REPORT: We report the case of a woman with EIB who developed Addison's disease during treatment with anti-tuberculosis drugs with good response to glucocorticoid replacement. The diagnosis was obtained through the clinical picture, positive tuberculin test and positive BCG (bacillus Calmette-Guérin) test on the histological sample. Anti-tuberculosis drugs and glucocorticoid replacement led to disappearance of the signs and symptoms. CONCLUSIONS: This is the first description of an association between EIB and Addison's disease. It should be borne in mind that tuberculosis is an important etiological factor for Addison's disease.


Author(s):  
Mafalda Sá Pereira ◽  
Raquel Freitas ◽  
Pedro Correia Azevedo

Cardiac tamponade is a life-threatening medical emergency and can arise in many clinical situations. We present the case of a 59-year-old man with adrenoleukodystrophy and Addison’s disease who was admitted to the emergency department with severe abdominal pain that turned out to be cardiac tamponade of unknown aetiology.  An association between cardiac tamponade and Addison’s disease has been reported in the literature, so this aetiology should be considered in the differential diagnosis for patients presenting with unexplained cardiac tamponade.


1980 ◽  
Vol 95 (2) ◽  
pp. 181-184 ◽  
Author(s):  
Sylvi Aanderud ◽  
Hans H. Bassøe

Abstract. A patient with Addison's disease, who was inadequately substituted with corticosteroids for twenty-five years, developed a pituitary tumour. The diagnosis of autoimmune thryroiditis with asymptomatic hypothyroidism was also made. ACTH and TSH plasma values were abnormally elevated. The ACTH secretion was suppressed by cortisone administered perorally. It seems possible that the pituitary enlargement is due to prolonged insufficient adrenocortical replacement therapy. The differential diagnosis and possible pathogenetic factors are discussed.


2008 ◽  
Vol 97 (4) ◽  
pp. 724-731
Author(s):  
Naohisa Tamura ◽  
Kazuwa Nakao

2004 ◽  
Vol 42 (05) ◽  
Author(s):  
GC Gurakuqi ◽  
V Stadlbauer ◽  
H Warnkross ◽  
M Trauner

1974 ◽  
Vol 76 (4) ◽  
pp. 729-740 ◽  
Author(s):  
Peter Kamp ◽  
Per Platz ◽  
Jørn Nerup

ABSTRACT By means of an indirect immunofluorescence technique, sera from 116 patients with Addison's disease, an equal number of age and sex matched controls and 97 patients with other endocrine diseases were examined for the occurrence of antibody to steroid-producing cells in ovary, testis and adrenal cortex. Fluorescent staining was observed in the theca cells of growing follicles, the theca lutein cells, testicular Leydig cells and adrenal cortical cells, i. e. cells which contain enzyme systems used in steroid hormone production. The "steroid-cell" antibody was present in 24 % of the patients with idiopathic Addison's disease, equally frequent in males and females, and in 17 % of the patients with tuberculous Addison's disease, but was rarely found in controls, including patients with other endocrine diseases. Female hypergonadotrophic hypogonadism made an exception, since the "steroid-cell" antibody was found in about half the cases with this condition.


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