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Adrenal crisis, also known as Addisonian crisis or acute adrenal insufficiency, is a life-threatening complication of adrenal insufficiency. Hypotension, and hypovolemic shock, are the main symptoms of an adrenal crisis. Other symptoms include weakness, anorexia, nausea, vomiting, fever, fatigue, abnormal electrolytes, confusion, and coma.
An "adrenal crisis" or "Addisonian crisis" is a constellation of symptoms that indicates severe adrenal insufficiency. This may be the result of either previously undiagnosed Addison's disease, a disease process suddenly affecting adrenal function (such as adrenal hemorrhage ), or an intercurrent problem (e.g., infection, trauma) in someone ...
[1] [2] [3] Adrenal crisis may occur if a person having adrenal insufficiency experiences stresses, such as an accident, injury, surgery, or severe infection; this is a life-threatening medical condition resulting from severe deficiency of cortisol in the body.
Adrenal crisis is a serious, life-threatening complication of adrenal insufficiency. Hypotension , or hypovolemic shock , is the main symptom of adrenal crisis, other indications and symptoms include weakness , anorexia , nausea , vomiting, fever, fatigue , abnormal electrolytes , confusion , and coma. [ 19 ]
Adrenal hemorrhage characteristic of the Waterhouse–Friderichsen syndrome has been identified in several autopsies of patients who died of sepsis secondary to capnocytophaga canimorsus infection. [8] Viruses may also be implicated in adrenal problems: Cytomegalovirus can cause adrenal insufficiency, [9] especially in the immunocompromised.
The U.S. National Institutes of Health says blood tests are the gold standard for diagnosing adrenal insufficiency, but a 2023 study from researchers in the U.K. found that saliva tests are not ...
Primary adrenal insufficiency; Congenital adrenal hyperplasia (21 but not 11β and 17) Aldosterone synthase deficiency; Secondary aldosterone deficiency; Secondary adrenal insufficiency; Diseases of the pituitary or hypothalamus; Hyporeninemic hypoaldosteronism (due to decreased angiotensin 2 production as well as intra-adrenal dysfunction) [4]
Adrenal crisis [2] Causes: Autoimmune processes, congenital etiologies, and physical trauma. [3] Diagnostic method: Morning serum cortisol levels, [4] Insulin tolerance testing, and ACTH stimulation test [2] Differential diagnosis: Congenital adrenal hyperplasia, Addison's disease, and Secondary adrenal insufficiency. [1] Treatment ...
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