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Isolated ACTH deficiency. Metabolic and endocrine studies in a 7-year-old boy.
  1. A Aynsley-Green,
  2. M W Moncrieff,
  3. S Ratter,
  4. C R Benedict,
  5. C N Storrs

    Abstract

    Metabolic and endocrine studies on a 7-year-old boy who presented with hypoglycaemic convulsions are reported in detail, proving the diagnosis of isolated ACTH deficiency--a rare cause of hypoglycaemia in childhood. Adrenaline secretion during insulin-induced hypoglycaemia was reduced. Low blood alanine levels occurred during starvation-induced hypoglycaemia, together with raised total blood ketone bodies; blood glucose did not increase adequately after oral alanine at this time. Hypoglycaemia in isolated ACTH deficiency appears to be due to a combination of impaired alanine mobilisation and a decreased rate of gluconeogenesis.

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