Title alternative:
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Addison-crisis bij patiënten bekend wegens bijnierschorsinsufficiëntie:
het belang van vroegtijdig ingrijpen
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Subject:
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IGMD 6: Hormonal regulation UMCN 2.2: Vascular medicine and diabetes UMCN 5.2: Endocrinology and reproduction |
Organization:
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Internal Medicine Endocrinology |
Journal title:
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Nederlands Tijdschrift voor Geneeskunde
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Abstract:
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In patients known to have adrenal insufficiency, inadequate adjustment of the glucocorticoid dosage during intercurrent illness can be life threatening. We describe two patients with adrenal insufficiency who died after their glucocorticoid dosage was insufficiently increased during an episode of gastroenteritis and pneumonia, respectively. Another patient died after a few days of fever and vomiting of unknown origin, after a period of refusing her medication. To prevent unnecessary death from Addisonian crisis, we have developed a protocol. Patients with known adrenal insufficiency, as well as their relatives and general practitioners, should repeatedly receive verbal and written instructions on how to deal with physical and severe psychic stress. We teach the patients and their relatives how to use an emergency injection of hydrocortisone, and the patients can consult the on-call endocrinologist by telephone 24 hours a day.
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