Primary adrenal insufficiency, or Addison disease, results from destruction of adrenal cells leading to inadequate secretion of glucocorticoids and mineralocorticoids.
Etiologies of a...
Weakness, fatigue, weight loss
Postural dizziness
Anorexia, nausea, vomiting, chronic diarrhea, abdominal pain
Depression
Decreased cold tolerance
Salt craving
Myalgia, flaccid muscle paral...
Consider the 5 S’s for the management of adrenal crisis:
Salt, Sugar, Steroids, Support, and Search for a precipitating illness
Periodically evaluate for long-term complications of corticosteroid use
Use the lowest steroid dose that will relieve the symptoms
Periodically screen for developme...
E27.1 Primary adrenocortical insufficiency
A18.7 Tuberculosis of adrenal glands
E27.2 Addisonian crisis
363732003 Addison’s disease (disorder)
186270000 Tuberculous Addison’s disease
76715...
80% of cases autoimmune cause; the average age of diagnosis: 40 years
5 S’s for the management of Addison disease: salt, sugar, steroids, support, and search for an underlying cause.
Goa...
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FIG. 7.2. Addison disease. This teenager was referred to the emergency department with a diagnosis of anorexia nervosa. Patient has hyperpigmentation over the joints of his hands (A) and the spine (B).
FIG. 7.2. Addison disease. This teenager was referred to the emergency department with a diagnosis of anorexia nervosa. Patient has hyperpi...
<bold><italic>Figure 18-22</bold> Bronze skin pigmentation of Addison disease.</bold>