[Secondary adrenal insufficiency presenting as XXXX : report of one case].

@entity1 @entity251 @entity390 @entity6 @entity5 @entity294 @entity391 @entity1372 @entity1295 @entity425 @entity448 @entity51 @entity1805 @entity701 @entity230 @entity2753
@entity2753 can be a marker of an underlying disease. We report a 52 years-old male with @entity6 who consulted for an episode of @entity390 and @entity391 lasting four days. His baseline serum @entity1372 was 118 mEq/L. He had no @entity51 . @entity2753 was initially interpreted in context of gastrointestinal fluid loss but correction with saline solution was poor. His urine @entity1372 was 105 mEq/L and his urine osmolality was 281 mOsm/L, so an Inappropriate Secretion of Antidiuretic Hormone Syndrome was suspected. Later, we found that the @entity1 had a two year history of @entity1295 , @entity425 , @entity448 , frequent @entity390 , @entity391 and @entity294 , loss of libido and decreased axillary and pubic hair. Thyroid-Stimulating Hormone (TSH) was normal and serum @entity701 < 1   g/dL. A CT scan showed a sellar mass compatible with a macroadenoma. There was also a moderately high serum prolactin and low @entity251 , thyroxin and growth hormone levels. The visual fi eld exami-nation showed right temporal @entity1805 . The @entity1 was treated with @entity230 with a very good clinical response and serum @entity1372 normalization. Subsequently a transsphenoidal excision of the @entity5 was performed and replacement of the other hormones was started. Now the @entity1 remains asymptomatic.
