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Isolated Adrenocorticotropin Deficiency With Depressive Symptoms
Kentaro Mikami1, Yasushi Oiwa2, Mitsuhiro Kometani2
1Department of Diabetes and Endocrinology, Fukui Prefectural Hospital, Fukui, Fukui 910-8526, Japan.
JCEM Case Reports
|February 26, 2026
Summary
Isolated adrenocorticotropin deficiency (IAD) can mimic mental and gastrointestinal disorders in older adults. Prompt diagnosis and hydrocortisone therapy rapidly resolved severe symptoms in an 81-year-old woman.
Area of Science:
- Endocrinology
- Internal Medicine
- Geriatrics
Background:
- Isolated adrenocorticotropin deficiency (IAD) is a rare endocrine disorder.
- It presents with nonspecific symptoms, often misdiagnosed in older adults.
- IAD involves reduced ACTH secretion with preserved other pituitary hormones.
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