{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T22:48:15Z","timestamp":1761518895959},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"800","license":[{"start":{"date-parts":[[1992,6,1]],"date-time":"1992-06-01T00:00:00Z","timestamp":707356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1992,6,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>We report the case of a 70 year old man who presented with physical and biochemical features suggestive of Addison's disease, but had a normal short tetracosactrin (Synacthen) test. Six months later he re-presented with similar clinical features but with an abnormal response to tetracosactrin confirming the diagnosis of Addison's disease. We recommend that if adrenal insufficiency is strongly suggested further investigation should be performed to exclude this diagnosis.<\/jats:p>","DOI":"10.1136\/pgmj.68.800.465","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:01:03Z","timestamp":1230584463000},"page":"465-466","source":"Crossref","is-referenced-by-count":8,"title":["Addisonian crisis presenting with a normal short tetracosactrin stimulation test"],"prefix":"10.1093","volume":"68","author":[{"given":"Graham P.","family":"Butcher","sequence":"first","affiliation":[{"name":"Department of Medicine, Royal Postgraduate Medical School, Hammersmith Hospital , Du Cane Road, London W12 0NN, UK ."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Zambon","sequence":"additional","affiliation":[{"name":"Department of Medicine, Royal Postgraduate Medical School, Hammersmith Hospital , Du Cane Road, London W12 0NN, UK ."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Moss","sequence":"additional","affiliation":[{"name":"Department of Medicine, Royal Postgraduate Medical School, Hammersmith Hospital , Du Cane Road, London W12 0NN, UK ."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian R.F.","family":"Walters","sequence":"additional","affiliation":[{"name":"Department of Medicine, Royal Postgraduate Medical School, Hammersmith Hospital , Du Cane Road, London W12 0NN, UK ."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1992,6,1]]},"reference":[{"issue":"1","key":"ref_1","first-page":"243","article-title":"A rapid test of adrenocortical function","volume":"1965","author":"Wood, J.B.; James, V.H.T.; Frankland, A.W.; Landon, J.","unstructured":"Wood, J.B., James, V.H.T., Frankland, A.W. & Landon, J. A rapid test of adrenocortical function. Lancet 1965,1: 243-245.","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1111\/j.1365-2265.1987.tb03638.x","article-title":"Reevaluation of the clinical value of the 30 minute ACTH in assessing the hypothalamic - pituitary - adrenocortical function","volume":"26","author":"Lindholm, J.; Kehlet, H.","year":"1987","unstructured":"Lindholm, J. & Kehlet, H. Reevaluation of the clinical value of the 30 minute ACTH in assessing the hypothalamic - pituitary - adrenocortical function. Clin Endocrinol 1987, 26: 53-59.","journal-title":"Clin Endocrinol"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1111\/j.1365-2265.1982.tb00726.x","article-title":"Development of adrenocortical failure in non Addisonian patients with antibodies to adrenal cortex","volume":"16","author":"Scherbaum, W.A.; Berg, P.A.","year":"1982","unstructured":"Scherbaum, W.A. & Berg, P.A. Development of adrenocortical failure in non Addisonian patients with antibodies to adrenal cortex. Clin Endocrinol 1982, 16: 345-352.","journal-title":"Clin Endocrinol"},{"key":"ref_4","first-page":"1238","article-title":"Complement fixing adrenal antibodies as a marker of predicting onset of idiopathic Addison's disease","volume":"i:","author":"Betterle, C.; Zanchetta, R.; Trevisan, A.; Zanette, F.; Pedini, B.; Mantero, F.","unstructured":"Betterle, C., Zanchetta, R., Trevisan, A., Zanette, F., Pedini, B. & Mantero, F. Complement fixing adrenal antibodies as a marker of predicting onset of idiopathic Addison's disease. Lancet 1983, i: 1238-1241.","journal-title":"Lancet 1983"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1210\/jcem-54-4-863","article-title":"Progressive adrenal failure in polyglandular autoimmune disease","volume":"54","author":"Saenger, P.; Levine, L.S.; Irvine, W.J.","year":"1982","unstructured":"Saenger, P., Levine, L.S., Irvine, W.J. et al. Progressive adrenal failure in polyglandular autoimmune disease. J Clin Endocrinol Metab 1982, 54: 863-868.","journal-title":"J Clin Endocrinol Metab"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1136\/bmj.1.5745.374","article-title":"Immunoreactive corticotrophin levels in adrenocortical insufficiency","volume":"1","author":"Besser, G.M.; Cullen, D.R.; Irvine, W.J.; Ratcliffe, J.G.; Landon, J.","year":"1971","unstructured":"Besser, G.M., Cullen, D.R., Irvine, W.J., Ratcliffe, J.G. & Landon, J. Immunoreactive corticotrophin levels in adrenocortical insufficiency. Br Med J 1971, 1: 374-376.","journal-title":"Br Med J"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/68\/800\/465\/50074350\/postgradmedj-68-465.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/68\/800\/465\/50074350\/postgradmedj-68-465.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T15:44:08Z","timestamp":1682610248000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/68\/800\/465\/7062438"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,6,1]]},"references-count":6,"journal-issue":{"issue":"800","published-online":{"date-parts":[[1992,6,1]]},"published-print":{"date-parts":[[1992,6,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.68.800.465","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1992,6]]},"published":{"date-parts":[[1992,6,1]]}}}