Fady Hannah-Shmouni, MD; Andrew Demidowich, MD; Constantine A. Stratakis, MD, D(Med)Sc
JAMA. 2016;316(5):535-536. doi:10.1001/jama.2016.8360
A 32-year-old woman with hypothyroidism presented for evaluation of chronic fatigue and weight loss of 9 kg. She had normal vital signs, darkening of her palmar creases, and buccal mucosa. Her test results showed low cortisol and elevated adrenocorticotropin hormone levels. What would you do next?