ea0059ep5 | Adrenal and steroids | SFEBES2018
Kempegowda Punith
, Quinn Lauren
, Shepherd Lisa
, Kauser Samina
, Johnson Briony
, Lawson Alexander
, Bates Andrew
A 62-year-old Asian British female presented with increasing tiredness. She had multiple co-morbidities and was prescribed steroid inhalers for suspected asthma. Her type 2 diabetes mellitus, previously well controlled on metformin, had worsened over a short period of time (48 to 85 mmol/mol). On examination, she was obese (weight 82 kg, BMI 43 kg/m2), hypertensive (155/78 mmHg); rest of the examination was unremarkable. The blood test revealed undetectable cortisol...