1. [Fatigue and anemia]
- Author
-
K, Ivanova and A, Zeller
- Subjects
Aged, 80 and over ,Diagnosis, Differential ,Male ,Addison Disease ,Humans ,Anemia ,Algorithms ,Fatigue - Abstract
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.
- Published
- 2009