ea0026p591 | Clinical case reports | ECE2011
Bilbao I
, Yoldi A
, Matteucci T
, Garcia C
, Aranburu M
, Egana N
, Alvarez-Coca M
, Goena M
Introduction: It has been stimated that up to 30% of idiopathic Addison disease in young boys is due to X-linked Adrenoleukodystrophy. We report the case of a 31-year-old previously asymptomatic man, who presented with hyperpigmentation and fatigue. Investigations revealed hyponatraemia (116 mEq/l), low serum cortisol (2.6 μg/ml) and high ACTH levels (>2000 pc/ml), plasma potassium was 4.37 mEq/l. Adrenal antibodies were absent and abdominal computerized tomography sc...