Letter

Adrenal insufficiency should be excluded before thyroxine replacement is started

BMJ 1996; 313 doi: 10.1136/bmj.313.7054.427 (Published 17 August 1996)
Cite this as: BMJ 1996;313:427.1

Access to the full text of this article requires a subscription or payment. Please log in or subscribe below.

  1. I A Osman,
  2. Peter Leslie
  1. Staff grade doctor in general medicine Consultant physician Medical Department, Borders General Hospital, Melrose TD6 9BS

    EDITOR,—We strongly agree with C M Brosnan and N F C Gowing's comment that Addison's disease remains the unforgiving master of non-specificity and disguise.1 We report two cases of Addison's disease in which the finding of a raised thyroid stimulating hormone concentration during investigations of weight loss prompted inappropriate treatment with thyroxine and precipitated an addisonian crisis.

    Case 1—A 58 year old woman presented to her general practitioner with persistent nausea, vomiting, and weight …

    Access to the full text of this article requires a subscription or payment

    Subscribe

    Article access

    Article access for 1 day

    Purchase this article for £20 $30 €32*

    The PDF version can be downloaded as your personal record

    * Prices do not include VAT

    Rapid responses

    THIS WEEK'S POLL

    BMJ most popular