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(general elective)
 Addison's disease (also known as primary adrenal insufficiency or
hypoadrenalism) is a rare disorder of the adrenal glands. It affects the
production of two hormones - cortisol and aldosterone.
 Cortisol is released in stressful situations and helps to maintain your
energy levels, your blood sugar levels and carbohydrate metabolism.
 Aldosterone maintains the balance of salt and water in your body, which
helps to control blood pressure.
Introduction
 Addison’s disease is an autoimmune inflammation of
adrenal glands, resulting in their gradual destruction
and inability to make sufficient amounts of adrenal
hormones.
 Life threatening emergency.
 No Cortisol & Aldosterone.
 Addison's can afflict persons of any age, gender, or
ethnicity, but it typically presents in adults between 30
and 50 years of age
 SST
– 250mcg synacthen test
– 1mcg synacthen test
 ITT
– More laborious and potentially dangerous
– Gold standard
 TUBERCULOSIS-
It was a leading cause of addison’s disease until the
antibiotics were introduced that successfully treated T.B.
Autoimmune disorders-Here the body’s immune system
makes antibiotics which cells of the adrenal cortex and
slowly destroys them.
 Adrenocortical destruction-
Bilateral adrenocortical destruction after T.B or
fungal infection and an idiopathic atrophy are the most
frequent causes .
 Extreme fatigue
 Weight loss and decreased appetite
 Darkening of your skin (hyperpigmentation)
 Low blood pressure, even fainting
 Salt craving
 Low blood sugar (hypoglycemia)
 Nausea, diarrhea or vomiting (gastrointestinal symptoms)
 Abdominal pain
 Muscle or joint pains
 Irritability
 Depression or other behavioral symptoms
 Body hair loss or sexual dysfunction in women
SYMPTOMS
• darkening of gums due to increased pigment
as seen in Addison's disease
• Darkening of the skin seen on the
legs of a white person with
Addison's disease
CAUSES
 •In an autoimmune disease, your body’s immune system
mistakes any organ or area of the body for a virus,
bacteria, or another outside invader.
 • Other causes of primary adrenal insufficiency include:
 • prolonged administration of glucocorticoids (e.g.
prednisone)
 • infections in your body
 • cancer and abnormal growths (tumors)
 • certain blood thinners used to control clotting in the
blood
There are also many other causes of secondary
adrenal insufficiency, including:
 tumors
 medications
 genetics
 traumatic brain injury
• Hydrocortisone pills to replace cortisol.
• If patient also lacking aldosterone, fludrocortisones
acetate pills will be provided.
• If patient are taking fludrocortisones, need to increase
salt intake, especially in hot and humid weather and after
exercise.
• In emergencies and during surgery, the medicine is
given intravenously (directly into a vein).
It is done by adequate corticosteroid maintenance
therapy provided by an average daily dose of 25-40 mg
cortisone.
TREATMENT
Addison's Disease: An Overview of Symptoms, Causes and Treatment

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Addison's Disease: An Overview of Symptoms, Causes and Treatment

  • 2.
  • 3.  Addison's disease (also known as primary adrenal insufficiency or hypoadrenalism) is a rare disorder of the adrenal glands. It affects the production of two hormones - cortisol and aldosterone.  Cortisol is released in stressful situations and helps to maintain your energy levels, your blood sugar levels and carbohydrate metabolism.  Aldosterone maintains the balance of salt and water in your body, which helps to control blood pressure. Introduction
  • 4.
  • 5.
  • 6.  Addison’s disease is an autoimmune inflammation of adrenal glands, resulting in their gradual destruction and inability to make sufficient amounts of adrenal hormones.  Life threatening emergency.  No Cortisol & Aldosterone.  Addison's can afflict persons of any age, gender, or ethnicity, but it typically presents in adults between 30 and 50 years of age
  • 7.  SST – 250mcg synacthen test – 1mcg synacthen test  ITT – More laborious and potentially dangerous – Gold standard
  • 8.  TUBERCULOSIS- It was a leading cause of addison’s disease until the antibiotics were introduced that successfully treated T.B. Autoimmune disorders-Here the body’s immune system makes antibiotics which cells of the adrenal cortex and slowly destroys them.  Adrenocortical destruction- Bilateral adrenocortical destruction after T.B or fungal infection and an idiopathic atrophy are the most frequent causes .
  • 9.
  • 10.  Extreme fatigue  Weight loss and decreased appetite  Darkening of your skin (hyperpigmentation)  Low blood pressure, even fainting  Salt craving  Low blood sugar (hypoglycemia)  Nausea, diarrhea or vomiting (gastrointestinal symptoms)  Abdominal pain  Muscle or joint pains  Irritability  Depression or other behavioral symptoms  Body hair loss or sexual dysfunction in women SYMPTOMS
  • 11. • darkening of gums due to increased pigment as seen in Addison's disease
  • 12. • Darkening of the skin seen on the legs of a white person with Addison's disease
  • 13. CAUSES  •In an autoimmune disease, your body’s immune system mistakes any organ or area of the body for a virus, bacteria, or another outside invader.  • Other causes of primary adrenal insufficiency include:  • prolonged administration of glucocorticoids (e.g. prednisone)  • infections in your body  • cancer and abnormal growths (tumors)  • certain blood thinners used to control clotting in the blood
  • 14. There are also many other causes of secondary adrenal insufficiency, including:  tumors  medications  genetics  traumatic brain injury
  • 15. • Hydrocortisone pills to replace cortisol. • If patient also lacking aldosterone, fludrocortisones acetate pills will be provided. • If patient are taking fludrocortisones, need to increase salt intake, especially in hot and humid weather and after exercise. • In emergencies and during surgery, the medicine is given intravenously (directly into a vein). It is done by adequate corticosteroid maintenance therapy provided by an average daily dose of 25-40 mg cortisone. TREATMENT