Autoimmune adrenalitis revealed by acute kidney injury.

Volume : VIII, Issue : V, May - 2018

Hassani Mohamed, Ouleghzal Hassan

A 44–years old female with no medical or drug history was presented with weakness, nausea and vomiting. On exam she

present hypotension, tachycardia and signs of dehydration. Laboratory tests showed renal failure, metabolic acidosis and

severe electrolytic disorders. Urine culture revealed a bacterial urinary tract infection. Kidney function, hyponatremia and hyperkalemia did not

fully improve despite intravenous hydration and appropriate antimicrobial therapy. Repeated episodes of hypoglycemia in a context of weakness

and lethargy. The diagnosis of autoimmune adrenalitis was made in the presence of low serum cortisol levels and positive anti–21 hydroxylase

antibodies.