Case Report

J Korean Soc Pediatr Endocrinol. 1998; 3(1): 79-83.

A Case of Hypocortisolemia Presented by Short Stature.

Mi Yeon Choi, Seon Hee Shin, Jeh Hoon Shin, Je Woo Kim, Young Ah Lee, Ha Joo Choi, Hae Sun Yoon, and Phil Soo Oh

Isolated ACTH deficiency is a rare cause of secondary adrenocortical insufficiency. The clinical presentation can be similar to that of primary adrenal insufficiency, but most of them may be nonspecific. A female patient of 25 months of age, complainig short stature, showed hypocortisolemia without ACTH & cortisol stimulation by insulin-induced hypoglycemia test. All the other hormone state was normal. Left hand AP view revealed delayed bone age(3 month) compared with chronological age. No radiologic abnormality was found in sella MRI and adrenal CT. Here we report a case of isolated ACTH deficiency presented by short stature.

Keywords : Isolated ACTH deficiency, Short stature, Hypocortisolemia