M G Shaikh1, P Lewis, J M W Kirk. 1. Department of Endocrinology, Birmingham Children's Hospital, Birmingham, United Kingdom. guftar.shaikh@bch.nhs.uk
Abstract
UNLABELLED: Patients with primary hypothyroidism may also have other underlying associated endocrinopathies, which are important to exclude. A 15-y-old girl presented with clinical biochemical evidence of hypothyroidism. CONCLUSION: Thyroxine replacement unmasked Addison's disease and precipitated an acute adrenal crisis. On physiological steroid replacement therapy, her "hypothyroidism" resolved.
UNLABELLED: Patients with primary hypothyroidism may also have other underlying associated endocrinopathies, which are important to exclude. A 15-y-old girl presented with clinical biochemical evidence of hypothyroidism. CONCLUSION:Thyroxine replacement unmasked Addison's disease and precipitated an acute adrenal crisis. On physiological steroid replacement therapy, her "hypothyroidism" resolved.