Endocrine Abstracts

We report a case of a 57 year old lady who presented with marked weight loss, dizziness and general malaise. The physical examination revealed pallor, hypotension, tachycardia and dehydration. There was no muco-cutaneous pigmentation. Routine biochemistry showed normocytic anaemia, hyponatraemia, mild hyperkalaemia and renal impairment. Abdominal ultrasound showed presence of bilateral large supra-renal masses. A short synacthen test showed sub-optimal rise in plasma cortisol ...