text>Acute adrenal insufficiency is a rare but life-threatening disorder that develops as a result of inadequate adrenal steroid production. Early diagnosis is key for effective and life-saving treatment of the affected patients. The main clinical features are non-specific, thus often leading to ...
The diagnosis and treatment of adrenal insufficiency: By George W. Thorn, M.D., Hersey Professor of the Theory and Practice of Physic, Harvard Medical School; and Physician-in-Chief, Peter Bent Brigham Hospital, Boston, Mass. With the collaboration of Peter H. Forsham, M.D., M.A. (...
Awareness should be raised in medical teams and patients about adrenal insufficiency and management of adrenal crisis to improve clinical outcome.IrinaBancosStefanieHahnerJeremyTomlinsonWiebkeArltSDOSThe Lancet Diabetes & EndocrinologyBancos I, Hahner S, Tomlinson J, Arlt W. Diagnosis and management of ...
Rationale: Diagnosis of adrenal insufficiency in critically ill patients has relied on random or cosyntropin-stimulated cortisol levels, and has not been corroborated by a more accurate diagnostic standard. Objective: We used the overnight metyrapone stimulation test to investigate the diagnostic value...
Rifampicin-induced adrenal insufficiency in the acquired immunodeficiency syndrome: difficulties in diagnosis and treatment. We report the case of a patient with the acquired immunodeficiency syndrome treated with rifampicin who had a 'normal' screening test for adrenal insufficiency, yet had clinical evide...
High clinical suspicion is required for its prompt diagnosis and management. A literature search of past clinical cases with adrenal insufficiency (AI) in the setting of APS and SLE was conducted using major electronic databases. Our aim was to retrieve information about the pathophysiology, ...
adrenal insufficiencyaddison diseaseThis chapter defines the criteria for the diagnosis of adrenal insufficiency, its diagnosis, and the various modalities of treatment. Pitfalls in the diagnosis process are discussed, and the standards of practice are outlined....
New Cut-off Value for Low-Dose Acth Stimulation Test in the Diagnosis of Adrenal Insufficiency Aim: Although the peak cortisol response in the low-dose test does not reach the generally accepted value of 18 g/dL, there are many patients whose adrenal... BK Toru,MM Canat,Y Altuntas - 《...
(excludingabstract&references) Tables:5 Figures:4 Keywords:Primaryadrenalinsufficiency,secondaryadrenalinsufficiency,tertiaryadrenal insufficiency,cortisol,hyponatraemia,ACTHdeficiency CorrespondingAuthor:ProfessorChrisThompson ProfessorofEndocrinology AcademicDepartmentofEndocrinology, BeaumontHospitalandRoyalCollegeofSurgeonsin...
Regardless of the etiology, untreated adrenal insufficiency is lethal given the central role of cortisol and aldosterone in energy, salt, and fluid homeostasis. Consequently, acute adrenal crisis is a life-threatening medical emergency. Despite the seriousness of this condition, the diagnosis of ...