RT Book, Section
A1 Chrousos, George P.
A2 Vanderah, Todd W.
SR Print(0)
ID 1204142534
T1 Adrenocorticosteroids & Adrenocortical Antagonists
T2 Katzung’s Basic &amp; Clinical Pharmacology, 16<sup>th</sup> Edition
YR 2024
FD 2024
PB McGraw-Hill
PP New York, NY
SN 9781260463309
LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1204142534
RD 2024/09/15
AB CASE  STUDYA  19-year-old  man  complains  of  anorexia,  fatigue,  dizziness,  and  weight  loss  of  8  months’  duration.  The  examining  physician  discovers  postural  hypotension  and  moderate  vitiligo  (depigmented  areas  of  skin)  and  obtains  routine  blood  tests.  She  finds  hyponatremia,  hyperkalemia,  and  acidosis  and  suspects  Addison  disease.  She  performs  a  standard  ACTH  1–24  stimulation  test,  which  reveals  an  insufficient  plasma  cortisol  response,  which  is  compatible  with  primary  adrenal  insufficiency.  The  diagnosis  of  autoimmune  Addison  disease  is  made,  and  the  patient  must  start  replacement  of  the  hormones  he  cannot  produce  himself.  How  should  this  patient  be  treated?  What  precautions  should  he  take?