Primary adrenocortical insufficency

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5 Terms

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Primary cause

Addison disease

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less common cause

Tuberculosis

HIV, AIDS

Sarcoidosis (a chronic inflammatory disease characterized by the formation of granulomas)

Radiation therapy

Adrenal hemorrhage

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Pathogenesis

Dysfunction of adrenal cortex

Leads to deficiency of adrenocortical hormone

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Etiology

Autoimmune disease

  • Antibodies to 21-hydroxylase

Tuberculosis

Other infiltrative processes

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Clinical manifestation

Hypotension (main sign), dehydration, hypoglycemia [hyponatremia (low sodium) hyperkalemia (high potassium)]

Fatigue, weakness

Weight loss, anorexia, nausea, vomiting

Abdominal pain (diarrhea or constipation)

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