PALMAR CREASE PIGMENTATION

Gomal Journal of Medical Sciences

View Publication Info
 
 
Field Value
 
Title PALMAR CREASE PIGMENTATION
 
Creator Khan, Habibullah
 
Description A young lady presented with history of giddiness, blackouts, and darkness of her skin colour especially the face. On examination the colour of her skin was quite dark but not much darker than her spouse. She had buccal pigmentations and her palmar creases were obviously pigmented.
Facility for short Synacthen test was not available. Her serum cortisol was on the lower normal side and ACTH was sky high; 1024 pg/ml (ref. range adults: 6-76 pg/ml). She was screened for ectopic ACTH production which could not reveal any pathology. Also plain abdominal x-ray didn’t show any adrenal calcification.
She was labeled as Addison’s disease and improved drastically after replacement therapy (Cortisone + Fludrocortisone). Giddiness aloof, she was delighted with the fairness of her colour.
 
Publisher Gomal Medical College, D.I.Khan, Pakistan
 
Date 2019-12-31
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

 
Format application/pdf
 
Identifier http://www.gjms.com.pk/ojs24/index.php/gjms/article/view/2099
 
Source 1997-2067
1819-7973
 
Language eng
 
Relation http://www.gjms.com.pk/ojs24/index.php/gjms/article/view/2099/1317
 
Rights Copyright (c) 2019 Habibullah Khan
https://creativecommons.org/licenses/by-nc/4.0
 

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