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Adrenal insufficiency history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayeesha Kattubadi, M.B.B.S[2] Muhammad Saad, M.B.B.S.[3]

Overview

Overview

The hallmark of adrenal insufficiency is fatigue. Most patients with adrenal insufficiency present with non specific symptoms. A positive history of fatigue,nausea and abdominal pain is suggestive of adrenal insufficiency. The most common symptoms of adrenal insufficiency include fatigue, anorexia, and weight loss. Common symptoms of adrenal insufficiency include abdominal pain, nausea, and vomiting. Less common symptoms of adrenal insufficiency include diarrhea, arthralgia, and myalgia. [1][2]

History and Symptoms

History and Symptoms

History

Patients with adrenal insufficiency may have a positive history of:

Common Symptoms

Common symptoms of adrenal insufficiency include:

Less Common Symptoms

Less common symptoms of adrenal insufficiency include:

Patients with Primary adrenal insufficiency present with additional symptoms of:

Glucocorticoid Induced Adrenal Insufficiency

Patients with glucocorticoid-induced adrenal insufficiency may initially develop signs and symptoms of Cushing syndrome, such as weight gain, central obesity, sarcopenia with proximal muscle weakness, skin fragility, and easy bruising due to treatment with supraphysiological doses of glucocorticoids [3].

References

References

  1. 1.0 1.1 Pazderska, Agnieszka; Pearce, Simon HS (2017). “Adrenal insufficiency – recognition and management”. Clinical Medicine. 17 (3): 258–262. doi:10.7861/clinmedicine.17-3-258. ISSN 1470-2118.
  2. 2.0 2.1 Chanson, Philippe; Guignat, Laurence; Goichot, Bernard; Chabre, Olivier; Boustani, Dinane Samara; Reynaud, Rachel; Simon, Dominique; Tabarin, Antoine; Gruson, Damien; Reznik, Yves; Raffin Sanson, Marie-Laure (2017). “Group 2: Adrenal insufficiency: screening methods and confirmation of diagnosis”. Annales d’Endocrinologie. 78 (6): 495–511. doi:10.1016/j.ando.2017.10.005. ISSN 0003-4266.
  3. “Adrenal Insufficiency in Adults: A Review | Endocrinology | JAMA | JAMA Network”.

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