Document Detail


KORSAKOFF'S SYNDROME ASSOCIATED WITH ADRENAL VIRILISM.
MedLine Citation:
PMID:  14158554     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Korsakoff's syndrome of obscure etiology was observed in a 34-year-old single woman with an 11-year history of hirsutism and mood swings, and previous hospitalizations for mania three years ago and depression 11 years ago.Recently the virilism had intensified with increased muscularity and coarsening of facial features. The 24-hour urinary 17-ketosteroids ranged between 14.4 mg. and 21.5 mg. and were suppressed by dexamethasone. The 17-hydroxycorticosteroid excretion was normal. These and other findings suggested a diagnosis of adrenal virilism due to adrenocortical hyperplasia. In the absence of other discernible causes it appeared that the adrenal pathology was responsible for the Korsakoff's syndrome. Both conditions responded well to glucocorticoid therapy although low doses were necessary to avoid mania.It is speculated that the encephalopathy was due to an associated adrenal insufficiency. Although hypoadrenalism is accepted as a complication of only the infant form of adrenal virilism, it is noteworthy that this patient had pathological pigmentation of her skin.
Authors:
B A COOKSON
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Medical Association journal     Volume:  90     ISSN:  0008-4409     ISO Abbreviation:  Can Med Assoc J     Publication Date:  1964 Jun 
Date Detail:
Created Date:  1964-10-01     Completed Date:  1996-12-01     Revised Date:  2011-09-28    
Medline Journal Info:
Nlm Unique ID:  0414110     Medline TA:  Can Med Assoc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  1449-53     Citation Subset:  OM    
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MeSH Terms
Descriptor/Qualifier:
Adrenogenital Syndrome*
Amobarbital*
Barbiturates*
Glutethimide*
Hypertrichosis*
Korsakoff Syndrome*
Phenothiazines*
Prednisone*
Thioridazine*
Trifluoperazine*
Virilism*
Chemical
Reg. No./Substance:
0/Barbiturates; 0/Phenothiazines; 117-89-5/Trifluoperazine; 50-52-2/Thioridazine; 53-03-2/Prednisone; 57-43-2/Amobarbital; 77-21-4/Glutethimide
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