Adrenal Crisis in Active Duty Service Members
Autor: | Michael T. McDermott, William J. Georgitis, Arnold A. Asp |
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Rok vydání: | 1996 |
Předmět: |
medicine.medical_specialty
Active duty business.industry Public Health Environmental and Occupational Health Adrenal crisis General Medicine Service member Disease medicine.disease Primary Adrenal Insufficiency Surgery Shock (circulatory) medicine Adrenal insufficiency medicine.symptom Young adult Intensive care medicine business |
Zdroj: | Military Medicine. 161:624-626 |
ISSN: | 1930-613X 0026-4075 |
DOI: | 10.1093/milmed/161.10.624 |
Popis: | Primary adrenal insufficiency is a chronic, debilitating condition that usually produces a variety of characteristic but non-specific clinical features. Up to 25% of patients present instead with acute life-threatening adrenal crisis, marked by severe hypotension and shock. Recognition of the disease in the chronic indolent phase is critical because adrenal steroid replacement effectively relieves symptoms and prevents the development of most acute crises. To illustrate these points, we describe four case histories in which the manifestations of chronic adrenal insufficiency went unrecognized in active duty service members until they presented with near-fatal adrenal crises. The salient clinical features, diagnosis, and treatment of the disease are also reviewed. |
Databáze: | OpenAIRE |
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