A 52-year-old man with a history of tuberculosis presents with fatigue and weight loss. His morning cortisol is 2 μg/dL and ACTH is 180 pg/mL. He does not have skin hyperpigmentation. Chest X-ray shows evidence of old granulomatous disease. Which test will best establish the etiology of his adrenal insufficiency?
- A)Plasma renin activity and aldosterone level
- B)ACTH stimulation test with cosyntropin
- C)Adrenal CT imaging to assess gland size and calcificationGABARITO
- D)Serum cortisol response to dexamethasone suppression
- E)Thyroid function tests
Explicação
Tuberculosis is a common cause of primary adrenal insufficiency, particularly in endemic regions. Adrenal CT will show bilateral gland enlargement, destruction, and/or calcification characteristic of TB-induced adrenalitis, helping confirm the infectious etiol... Ver explicação completa e trilha adaptativa →