These skin changes are not encountered in secondary and tertiary hypoadrenalism.
2.
As a result, this form of primary hypoadrenalism is the only form of CAH that can cause ambiguous genitalia in both genetic sexes.
3.
Other tests may be performed to distinguish between various causes of hypoadrenalism, including renin and adrenocorticotropic hormone levels, as well as medical imaging-usually in the form of ultrasound, computed tomography or magnetic resonance imaging.
4.
HES is a diagnosis of exclusion, after clonal eosinophilia ( such as leukemia ) and reactive eosinophilia ( in response to infection, autoimmune disease, atopy, hypoadrenalism, tropical eosinophilia, or cancer ) have been ruled out.
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