case-presentation_83

Problem list:

14. Known case of DMTI ( for 1 year) & autoimmune thyroid disease (Graves disease for 12 years)
14. Alopecia totalis & onycholysis for 1 year
14. Amenorrhea for 10 months
14. Blood glucose level fluctuation & hypotension for 2 month
14. Progressive weight loss since diagnosis of DM
14. Cosyntropin test->  cortisol < 18 mcg/d & ACTH: 15 pg/ml
14. Stalk thickening in MRI