| Summary points: | This report describes the case of a 60-year-old male who experienced spontaneous unconsciousness. Peripheral blood tests, blood biochemistry, hormonal laboratory data, insulin tolerance test, treatment, follow-up, and outcome are provided. The authors discuss growth hormone (GH) deficiency in an adult male case of idiopathic adrenocorticotropin deficiency and the need for monitoring of GH function following glucocorticoid replacement. |