In this figure from Thomas Addison’s classic paper, one can clearly see that the adrenal glands are pathologically altered. What was the cause of adrenal failure in this patient suffering from Addison’s disease?
A. Autoimmune adrenalitis
B. Tuberculosis
C. Septicemia with hemorrhagic necrosis of both adrenals
D. Adrenal atrophy of unknown cause
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Answer to last issue’s Case of the Month…
B. Intestinal atresia
Intestinal atresia is a loss of continuity of the intestinal lumen, presumed to be due to an intrauterine insult or a developmental abnormality. It most commonly affects the small bowel and only rarely the large bowel. Patients usually present very early in life with abdominal distension, vomiting, and failure to pass meconium. There is a high degree of association with other congenital abnormalities.
Submitted by Laura Brown, The University of Kansas School of Medicine, Kansas City, USA.
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