Primary adrenal gland insufficiency, which results from partial or complete (>90%) destruction of the adrenal cells with inadequate secretion of glucocorticoids and mineralocortic...
Anorexia, nausea, vomiting
Depression (60–80% of patients)
Decreased cold tolerance
Myalgia, flaccid muscle paralysis (hyperkal...
Salt, sugar, steroids, support, and search for a precipitating illness (usually infection, trauma, recent surgery, or...
Monitor BP, electrolytes, plasma renin, and fasting blood glucose level.
Periodically evaluate for long-term complications of corticosteroid use; screen for osteop...
E27.1 Primary adrenocortical insufficiency
A18.7 Tuberculosis of adrenal glands
E27.2 Addisonian crisis
255.41 Glucocorticoid deficiency
017.60 Tuberculosis of adrenal glands, unspecified
80% of cases are caused by an autoimmune process; the average age of diagnosis in adults is 40 years.
Consider the 5 S’s for the management of Addison disease: salt, sugar, steroids, su...
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