A patient with mild skin pigmentation is admitted emergently to your service because of sudden abdominal pain, fever and a rigid abdomen. Her lab report show blood sugar of 55, sodium of 119, and potassium of 6.2. Her BP is 88/58. She undergoes an exploratory laparotomy. Which of the following statement is true?
|A||Treatment with exogenous steroids is usually ineffective|
|B||This condition is commonly seen as a consequence of metastasis of distant cancers, such as lung or breast to the adrenal glands|
|C||Death from untreated chronic adrenal insufficiency may occur within hours of surgery|
|D||The most common underlying cause today is infection with MDR tuberculosis|
1. Acquired forms of primary insufficiency are relatively rare, may occur at any age, and affect both sexes equally. Because of the common therapeutic use of steroids, secondary adrenal insufficiency is relatively common.
b. The most frequent cause now is idiopathic atrophy, and an autoimmune mechanism is probably responsible.