Adrenocortical insufficiency

external

• Synonyms

  • Hypoadrenalism
  • Addisonism
  • Adrenocortical hypofunction

• Causes

  • Addison disease
  • Miliary tuberculosis
  • Adrenal haemorrhage
  • Metastasis
  • Panhypopituitarism
  • 21-hydroxylase deficiency
  • Systemic amyloidosis
  • Nelson syndrome
  • Coccidioides immitis
  • Cerebral X-linked adrenoleukodystrophy
  • Human immunodeficiency virus
  • Histoplasma capsulatum
  • Adrenal insufficiency alacrima and achalasia syndrome

• Effects

  • Low glucocorticoid
  • Decreased aldosterone
  • Increased ACTH
  • No response to synacthen

• Parents

  • Endocrine disease

• Children

  • Adrenal crisis

• Treatments

  • Intravenous fluid
  • Hydrocortisone
  • Corticosteroid

• Description

  • "Treatment of Adrenal crisis Intravenous fluids Intravenous hydrocortisone Patients with AI require additional glucocorticoid doses during severe illness or surgery. "