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Addison's disease natural history, complications and prognosis

Introduction

Overview

Overview

If left untreated, Addison’s disease can be life-threatening. Complications of Addison’s disease include hypoglycemia, addisonian crisis, hypoxia, hypovolemic shock, cardiac arrest, stroke. Prognosis is generally good in patients with Addison’s disease as long as they are on life time hormone replacement therapy.

Natural History

Natural History

If left untreated, Addison’s disease can be life-threatening. Any stressful event or illness can cause a sudden worsening of symptoms, which can lead to severe dehydration and fatally low blood pressure and eventually death.

Complications

Complications

Complications of Addison’s disease include:[1]

Prognosis

Prognosis

  • Prognosis is generally good in patients with Addison’s disease as long as they are on life-time hormonal therapy.[2][3]
  • Patients with Addison’s disease must be closely monitored for compliance with medications as acute cases can be life-threating and the mortality rates can go up to 95% in acute crisis.
References

References

  1. ↑ Quinkler M (2012). “[Addison’s disease]”. Med Klin Intensivmed Notfmed (in German). 107 (6): 454–9. doi:10.1007/s00063-012-0112-3. PMIDΒ 22907517.
  2. ↑ Erichsen MM, LΓΈvΓ₯s K, Fougner KJ, Svartberg J, Hauge ER, Bollerslev J, Berg JP, Mella B, Husebye ES (2009). “Normal overall mortality rate in Addison’s disease, but young patients are at risk of premature death”. Eur. J. Endocrinol. 160 (2): 233–7. doi:10.1530/EJE-08-0550. PMIDΒ 19011006.
  3. ↑ Bergthorsdottir R, Leonsson-Zachrisson M, OdΓ©n A, Johannsson G (2006). “Premature mortality in patients with Addison’s disease: a population-based study”. J. Clin. Endocrinol. Metab. 91 (12): 4849–53. doi:10.1210/jc.2006-0076. PMIDΒ 16968806.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Β ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]