CATASTROPHIC HYPOADRENALISM IN A CASE OF SJOGRENS-SYNDROME

We describe a patient with Sjogren's syndrome who died from undiagnose d adrenocortical failure. A positive test for adrenocortical antibody, performed pre-terminally, suggested the underlying diagnosis, which w as subsequently confirmed at post-mortem. This case highlights the rar e association of Sjogren's syndrome with occult adrenocortical failure . Perhaps a greater awareness of this association and more frequent se rological screening are necessary to prevent a fatal outcome.