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When Stress Is Not the Only Culprit: A Case of Secondary Adrenal Insufficiency in a Young Patient With Graves’ Disease

This case report underscores the significance of maintaining a broad list of differential diagnoses, including adrenal insufficiency, when evaluating patients who present with recurring episodes of hypotension and generalized fatigue. It further underscores that T3 thyrotoxicosis can manifest as the...

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Detalles Bibliográficos
Autores principales: Ozair, Saleha, Maldonado-Rivera, Hiram, Medina-Morales, Kimberly, Marti, Echols, Angueira-Serrano, Eugenio, Michel, George
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10404451/
https://www.ncbi.nlm.nih.gov/pubmed/37551210
http://dx.doi.org/10.7759/cureus.41528
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author Ozair, Saleha
Maldonado-Rivera, Hiram
Medina-Morales, Kimberly
Marti, Echols
Angueira-Serrano, Eugenio
Michel, George
author_facet Ozair, Saleha
Maldonado-Rivera, Hiram
Medina-Morales, Kimberly
Marti, Echols
Angueira-Serrano, Eugenio
Michel, George
author_sort Ozair, Saleha
collection PubMed
description This case report underscores the significance of maintaining a broad list of differential diagnoses, including adrenal insufficiency, when evaluating patients who present with recurring episodes of hypotension and generalized fatigue. It further underscores that T3 thyrotoxicosis can manifest as the initial and sole presenting feature of Graves' disease. Finally, it emphasizes the critical importance of employing a multidisciplinary approach to discharge high-risk patients from the hospital to minimize the risk of acute decompensation.
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spelling pubmed-104044512023-08-07 When Stress Is Not the Only Culprit: A Case of Secondary Adrenal Insufficiency in a Young Patient With Graves’ Disease Ozair, Saleha Maldonado-Rivera, Hiram Medina-Morales, Kimberly Marti, Echols Angueira-Serrano, Eugenio Michel, George Cureus Endocrinology/Diabetes/Metabolism This case report underscores the significance of maintaining a broad list of differential diagnoses, including adrenal insufficiency, when evaluating patients who present with recurring episodes of hypotension and generalized fatigue. It further underscores that T3 thyrotoxicosis can manifest as the initial and sole presenting feature of Graves' disease. Finally, it emphasizes the critical importance of employing a multidisciplinary approach to discharge high-risk patients from the hospital to minimize the risk of acute decompensation. Cureus 2023-07-07 /pmc/articles/PMC10404451/ /pubmed/37551210 http://dx.doi.org/10.7759/cureus.41528 Text en Copyright © 2023, Ozair et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Ozair, Saleha
Maldonado-Rivera, Hiram
Medina-Morales, Kimberly
Marti, Echols
Angueira-Serrano, Eugenio
Michel, George
When Stress Is Not the Only Culprit: A Case of Secondary Adrenal Insufficiency in a Young Patient With Graves’ Disease
title When Stress Is Not the Only Culprit: A Case of Secondary Adrenal Insufficiency in a Young Patient With Graves’ Disease
title_full When Stress Is Not the Only Culprit: A Case of Secondary Adrenal Insufficiency in a Young Patient With Graves’ Disease
title_fullStr When Stress Is Not the Only Culprit: A Case of Secondary Adrenal Insufficiency in a Young Patient With Graves’ Disease
title_full_unstemmed When Stress Is Not the Only Culprit: A Case of Secondary Adrenal Insufficiency in a Young Patient With Graves’ Disease
title_short When Stress Is Not the Only Culprit: A Case of Secondary Adrenal Insufficiency in a Young Patient With Graves’ Disease
title_sort when stress is not the only culprit: a case of secondary adrenal insufficiency in a young patient with graves’ disease
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10404451/
https://www.ncbi.nlm.nih.gov/pubmed/37551210
http://dx.doi.org/10.7759/cureus.41528
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