Adrenal Insufficiency Associated with Cholestatic Jaundice: A Case Report

被引：1

作者：

Lee, Wei-Cheng ^{[1
,3
]}

Shih, Shou-Chuan ^{[1
,3
]}

Wang, Horng-Yuan ^{[1
,3
]}

Wu, Chien-Liang ^{[2
,3
]}

Lee, Shih-Yi ^{[2
,3
]}

Ku, Hui-Chun ^{[4
]}

机构：

[1] MacKay Mem Hosp, Div Gastroenterol, Dept Internal Med, Taipei, Taiwan

[2] MacKay Mem Hosp, Div Pulm & Crit Care Med, Dept Internal Med, 92,Sec 2,Zhongshan N Rd, Taipei 10449, Taiwan

[3] Mackay Jr Coll Med Nursing & Management, Taipei, Taiwan

[4] Natl Taiwan Univ, Inst Pharmacol, Coll Med, Taipei, Taiwan

来源：

INTERNATIONAL JOURNAL OF GERONTOLOGY | 2018年 / 12卷 / 02期

关键词：

cholestasis; adrenal insufficiency; EXTRAHEPATIC BILIARY OBSTRUCTION; PROLONGED CHOLESTASIS; INTRAHEPATIC CHOLESTASIS; CORTISOL DEFICIENCY; ENDOTOXEMIC RATS; BILE-ACIDS; RARE CAUSE; LIVER; AXIS; SUPPRESSION;

D O I：

10.1016/j.ijge.2017.05.002

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Various disorders result in jaundice. Adrenal insufficiency is a rare cause of neonatal cholestasis, which is reversible with prompt glucocorticoid administration. Cholestasis caused by adrenal insufficiency has not been reported in adult patients. We present a case of a 65-year-old male with jaundice and without hepatitis A, B, or C. Endoscopic retrograde cholangiopancreatography showed a patent biliary tract. Liver pathology revealed no malignancy but showed bile stasis compatible with cholestatic hepatitis. The patient's jaundice persisted for 7 weeks, and at the same time, adrenal insufficiency was diagnosed. Adrenal insufficiency was recovered with glucocorticoid therapy, and the jaundice was cured. Copyright (C) 2017, Taiwan Society of Geriatric Emergency & Critical Care Medicine. Published by Elsevier Taiwan LLC.

引用

页码：164 / 166

页数：3

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