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Adrenal insufficiency


Authors: Michal Kršek
Authors place of work: 2. interní klinika 3. LF UK a FN Královské Vinohrady, Praha
Published in the journal: Čas. Lék. čes. 2017; 156: 252-257
Category: Review Article

Summary

Adrenal insufficiency (AI) is an endocrine disorder characterized by a decrease in cortisol secretion in adrenal cortex. AI even if properly diagnosed and treated is connected with a significant increase in morbidity and mortality and a decrease in quality of life. This review article summarizes basics of clinical presentation, diagnosis, differential diagnostic and treatment necessary for physicians of nearly all specialties and for improvement of the prognosis of patient suffering from AI.

Keywords:
pituitary, adrenal, cortisol, insufficiency


Zdroje

1. Addison T. On the constitutional and local effects of the supra-renal capsules. Samuel Highley, London UK, 1855.

2. Bensing S, Hulting AL, Husebye ES et al. Epidemiology, quality of life and complications of primary adrenal insufficiency: a review. Eur J Endocrinol 2016; 175: R107–116.

3. Stewart PM, Newell-Price JDC. The adrenal cortex. In: Melmed S, Polonsky KS, Reed Larsen P, Kronenberg HM (eds.). Williams Textbook of Endocrinology (13th ed.). Elsevier, Philadelphia, 2016: 489–588.

4. Arlt W and Society for Endocrinology Clinical Committee. Emergency management of acute adrenal insufficiency (adrenal crisis) in adult patients. Endocr Connect 2016; 5: G1–G3.

5. Bornstein SR, Allolio B, Arlt W et al. Diagnosis and treatment of primary adrenal insufficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2015; 101: 364–389.

6. Yanase T, Tajima T, Katabami T et al. Diagnosis and treatment of adrenal insufficiency including adrenal crisis: a Japan Endocrine Society clinical practice guideline. Endocr J 2016; 63: 765–784.

7. Husebye ES, Allolio B, Arlt W et al. Consensus statement on the diagnosis, treatment and follow-up of patients with primary adrenal insufficiency. J Intern Med 2014; 275: 104–115.

Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist
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