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Old 02-09-2011
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Question Addison case?

A man complains now of increased dark coloration in his body more than before also he complains of weakness, decreased blood pressure, chest x ray finding; slightly increased cardiac silhouette.

What is the cause of his problem ?

A- autoimmune

B- neoplastic

C- tuberculous
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Old 02-09-2011
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A) autoimmune


A problem with your immune system usually causes Addison's disease. The immune system mistakenly attacks your own tissues, damaging your adrenal glands.

Symptoms:

  • Weight loss
  • Muscle weakness
  • Fatigue that gets worse over time
  • Low blood pressure
  • Patchy or dark skin
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Old 02-09-2011
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Idiopathic autoimmune disease is the major cause of Addison's - but tuberculosis was the most common cause a hundred years ago, and probably still may be in some countries where it's endemic. The wording of the question was a little weird - is there an unspecified chest x-ray finding and a slightly enlarged cardiac silhouette or was the large cardiac silhouette the chest finding?
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