Addisonian crisis as debut of primary chronic adrenocortical insufficiency


Ye.N. Tomilova

N.I. Pirogov Russian National Research Medical University, Department of endocrinology, Moscow
The article describes the clinical case of addisonian crisis in a female patient with previously undiagnosed primary chronic adrenocortical insufficiency. The authors present brief information about chronic adrenocortical insufficiency, emphasizing the gradual development of the disease and the probability of its late diagnosis only when the addisonian crisis develops in the patient. In support of this thesis, the case of diagnosis of primary hypocorticism in a female patient admitted to the intensive care unit with symptoms of an addisonian crisis is described. The authors describe the medical case history and the course of examination, which resulted in the diagnosis of chronic autoimmune thyroiditis with hypofunction. Replacement and rehydration therapy as well as the results of treatment are described in detail. The analysis of the discussed case, and the recommendations on diagnostics in similar clinical situations are presented.
Keywords: addisonian crisis, chronic adrenocortical insufficiency, clinical case
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About the Autors

Yelena N. Tomilova, PhD, associate professor, Department of endocrinology, N.I. Pirogov Russian National Research Medical University. Address: 109263, Moscow, 4/1 Shkuleva St. Tel.: +74991788238. E-mail: elenarohas@yandex.ru

Tatiana Yu. Demidova, MD, professor, head of the Department of endocrinology, N.I. Pirogov Russian National
Research Medical University. Address: 109263, Moscow, 4/1 Shkuleva St. Tel.: +74991788238. E-mail: t.y.demidova@
gmail.com


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