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Erschienen in: Rheumatology International 4/2017

01.11.2016 | Cases with a Message

Adrenal crisis while on high-dose steroid treatment: what rheumatologist should consider?

verfasst von: Döndü Üsküdar Cansu, Güven Barış Cansu, Deniz Arik, Cengiz Korkmaz

Erschienen in: Rheumatology International | Ausgabe 4/2017

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Abstract

Steroid treatment is commonly recommended for autoimmune disorders in rheumatology practice. While adrenal crisis may occur upon existence of an inducing factor in patients with known or unknown adrenal insufficiency as well as in those with a suppressed hypothalamic–pituitary–adrenal (HPA) axis due to chronic steroid use, addisonian crisis rarely develops in patients on supraphysiological doses of steroid and, when emerged, it might be very difficult to recognize. Here, we present a patient who developed adrenal crisis while receiving high-dose methylprednisolone treatment due to retroperitoneal fibrosis and we also discuss possible mechanisms with a brief literature review.
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Metadaten
Titel
Adrenal crisis while on high-dose steroid treatment: what rheumatologist should consider?
verfasst von
Döndü Üsküdar Cansu
Güven Barış Cansu
Deniz Arik
Cengiz Korkmaz
Publikationsdatum
01.11.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Rheumatology International / Ausgabe 4/2017
Print ISSN: 0172-8172
Elektronische ISSN: 1437-160X
DOI
https://doi.org/10.1007/s00296-016-3591-3

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