Differential diagnosis of increased ACTH secretion are :
-pituitary ACTH secreting adenoma ( microadenoma)
-hypothalamic hyperfunction ( increased corticotropin - releasing hormone)
-ectopic ACTH syndrome
-primary adrenal cortical insufficiency ( congenital, iatrogenic, tuberculosis, drugs, neoplasm, infiltrative, autoimmune, idiopathic, infarction, hemorrhage ( Waterhouse - Friderichsen)
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