Challenging Diagnosis of Addison’s Disease Presenting with Adrenal Crisis

Primary adrenal insufficiency, also known as Addison’s disease, is a rare but potentially fatal condition resulting from the failure of the adrenal cortex to produce glucocorticoid and/or mineralocorticoid hormones. Unfortunately, the clinical manifestation of primary adrenal insufficiency is not sp...

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Bibliographic Details
Published in:Case reports in endocrinology 2021-10, Vol.2021, p.1-6
Main Authors: Wina Dharmesti, Ni Wayan, Saraswati, Made Ratna, Suastika, Ketut, Gotera, Wira, Dwipayana, I Made Pande
Format: Article
Language:English
Subjects:
Abdomen
Addison's disease
Adrenal glands
Amenorrhea
Antibiotics
Autoimmune diseases
Blood pressure
Blood tests
Case Report
Case reports
Chronic illnesses
Corticosteroids
Creatinine
Diagnosis
Diarrhea
Diseases
Electrolytes
Endocrine disorders
Fever
HIV
Hormones
Human immunodeficiency virus
Hypotension
Indonesia
Infections
Menstruation
Nausea
Patients
Pneumonia
Potassium
Sepsis
Shock
Skin
Tongue
Vomiting
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Summary:Primary adrenal insufficiency, also known as Addison’s disease, is a rare but potentially fatal condition resulting from the failure of the adrenal cortex to produce glucocorticoid and/or mineralocorticoid hormones. Unfortunately, the clinical manifestation of primary adrenal insufficiency is not specific and often progresses insidiously, resulting in late diagnosis, or in severe cases, life-threatening circulatory collapse. Adrenal insufficiency should be considered in patients with unexplained vascular collapse. We report the case of a woman who presented to the emergency ward with unexplainable shock that was later diagnosed as adrenal crisis due to Addison’s disease. The presence of hyperpigmentation in patients with rapid progression of adrenal insufficiency suggests the diagnosis of Addison’s disease presenting with adrenal crisis.
ISSN:2090-6501
2090-651X
DOI:10.1155/2021/7137950