Morbus Addison als seltene Ursache für chronisch erhöhte Transaminasen

摘要: Common causes of chronically elevated serum liver enzymes include fatty disease, chronic viral hepatitis, autoimmune or hereditary metabolic disorders. Adrenocortical insufficiency can also cause enzymes. Since 1990 only 11 cases have been reported. We here report a 52-year-old man with (1.5 x upper limit normal) over the past 10 years. Furthermore, hyponatremia and hyperkalemia were noted. He complained fatigue low blood pressure few At physical examination dark complexion was After ruling out disorders, rare considered. The endocrinological work-up revealed Addison's disease as electrolyte disturbance patient successfully treated hydrocortisol fludrocortisol. one week, enzymes, electrolytes arterial had normalized. In conclusion, for patients constantly rare, extrahepatic diseases to be is but fully reversible