【简答题】![](https://cos-cdn.shuashuati.com/shuashuati-web/2024-0521-0905-00/logo-new-ad743.png)
患者男,38岁,因“进行性消瘦伴体位性头晕,饭前常心悸、手颤1年”来诊。既往无结核病史。查体:BP78/50mmHg;消瘦,皮肤无色素沉着。实验室检查:血糖3.0mmol/L;抗肾上腺皮质抗体(-);氢化可的松72nmol/L(正常值165~441nmol/L)。最可能的诊断是A、艾迪生病(Addisondisease)
B、特发性慢性肾上腺皮质功能减退症
C、继发性肾上腺皮质功能减退症
D、低血糖症
E、库欣综合征
为进一步鉴别原发性或继发性肾上腺皮质功能减退,下述检查中最有意义的是A、测血浆肾素、醛固酮
B、测24h尿17-羟类固醇
C、测24h尿游离氢化可的松
D、测24h尿17-酮类固醇
E、ACTH刺激试验
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