Am. Alsabri et al., SUDDEN-DEATH DUE TO AUTOIMMUNE ADDISONS-DISEASE IN A 12-YEAR-OLD GIRL, International journal of legal medicine, 110(5), 1997, pp. 278-280
A 12-year-old female suffering from adrenocortical insufficiency showe
d symptoms similar to a gastro-enteritis, and severe electrolytic and
acid/base disturbances which progressed into cerebral oedema and death
. Autopsy findings included depletion of the adrenal cortex, with enla
rgement and eosinophilia of surviving cells. In ante-mortem blood, ant
i-adrenal auto-antibodies were found and elevated levels of ACTH and c
ortisol with a low level of aldosterone.