Task: Text Categorization
Input (English): Question: A 33-year-old woman with a loss of 6 kg in the last 4 months, asthenia and anorexia. Amenorrhea for 2 months. The hormonal results indicate a basal cortisol serum concentration of 108 nmol / l (baseline normal value 115-550) and 123 nmol / l after stimulation with ACTH. The baseline plasma concentration of ACTH is 48 pmol / l (normal value: 2-12). What is the most likely diagnosis? 
 Options:  <0> Primary adrenal insufficiency. <1> Secondary adrenal insufficiency. <2> Tertiary adrenal insufficiency due to hypothalamic lesion. <3> ACTH-producing pituitary tumor (corticotropinoma). <4> More tests should be done since the diagnosis is inconclusive.
Output (English): medicine