KROK 1 2018 – Question 3 · KROK (Medicine) · Pathophysiology

After a case of sepsis a 27-year-old woman developed ”bronzed” skin discoloration characteristic of Addison’s disease. Hyperpigmentation mechanism in this case is based on increased secretion of:

  1. A. β-lipotropin
  2. B. Gonadotropin
  3. C. Thyroid-stimulating hormone
  4. D. Somatotropin
  5. E. Melanocyte-stimulating hormone
Hint

After adrenal failure the loss of negative feedback makes the pituitary overproduce a family of peptides cut from one precursor; decide which of them darkens the skin.

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