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A Challenging diagnosis that eventually results in a life-threatening condition: Addison’s disease and adrenal crisis

A young man endures many years with classic symptoms of Addison’s disease due to difficulties in distinguishing this rare condition, whose features are non-specific and insidious in nature. With all facts on hand, the patient’s notable history of psychiatric disorders, namely depression, anxiety and...

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Detalles Bibliográficos
Autores principales: Joersjö, Philippa, Block, Linda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6936478/
https://www.ncbi.nlm.nih.gov/pubmed/31888894
http://dx.doi.org/10.1136/bcr-2019-231858
Descripción
Sumario:A young man endures many years with classic symptoms of Addison’s disease due to difficulties in distinguishing this rare condition, whose features are non-specific and insidious in nature. With all facts on hand, the patient’s notable history of psychiatric disorders, namely depression, anxiety and social isolation, as well as signs of extreme fatigue and syncope may well have been caused by a gradual onset of primary adrenal insufficiency. Long delays in diagnosis are not uncommon, as in this case where the actual condition was identified just in time when the patient presented with a life-threatening cardiovascular collapse.