Secondary adrenal insufficiency due to opiate therapy - another differential diagnosis worth consideration
| Autor: | Greminger P, Brändle M, Schimke Ke |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Secondary adrenal insufficiency Endocrinology Diabetes and Metabolism Opiate therapy Pain Newly diagnosed Fentanyl Diagnosis Differential Endocrinology Adrenal Cortex Hormones Internal Medicine medicine Adrenal insufficiency Humans In patient business.industry Chronic pain General Medicine Middle Aged medicine.disease Surgery Analgesics Opioid Differential diagnosis business medicine.drug Adrenal Insufficiency |
| Zdroj: | Experimental and clinical endocrinologydiabetes : official journal, German Society of Endocrinology [and] German Diabetes Association. 117(10) |
| ISSN: | 1439-3646 |
| Popis: | We report on a 64-year-old patient in whom fentanyl therapy was found to be responsible for the induction of secondary adrenal insufficiency as clearly demonstrated by re-exposure. We conclude that given the widespread use of opiates in chronic pain management physicians should raise their level of awareness for adrenal insufficiency and look for it generously. Opiates should be added to the list of differential diagnoses to be considered routinely in patients with newly diagnosed secondary adrenal insufficiency. |
| Databáze: | OpenAIRE |
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