Addison’s Disease is a somewhat rare medical condition that affects the Endocrine System.
It can also be called: Chronic Adrenal Insufficiency, hypocortisolism, and hypoadrenalism.
In this condition, the the Adrenal Gland does not produce enough steroid hormones. (Glucocorticoids as well as mineralocorticoids)
There can be a complete or partial decrease that is seen.
Hypoadrenalism is characterized by low blood pressure, asthenia, and a brownish discoloration of the skin.
70-80% of the time, there is an insufficiency of the adrenal hormone called Cortisol.
Often the cause is damage from one’s own Immune System.
This can be referred to as Primary Adrenal Insufficiency
Tumors can be seen, but this is a rare cause agent.
- Abdominal pain
- Weight loss
- Difficulty standing up
- Low blood pressure
- Mood changes
- Blood work
- Imaging – CT and MRI
- Replacement of Hormones
- Hydrocortisone Tablets in some cases or Prednisone Tablets.
- Fludrocortisone as a replacement if patient is missing aldosterone (A type of Hormone)
*** – Treatment is often life-long
A Serious Complication is an Addisonian Crisis
- This is a grouping of symptoms that can indicate severe adrenal insufficiency.
- Possibly the result of an undiagnosed condition or a serious change in adrenal function.
- This is a medical emergency and potentially life-threatening situation
Symptoms of this are:
1.) Sudden pain in legs, lower back, or abdomen
2.) Severe vomiting and diarrhea
4.) Low blood pressure
5.) Syncope – Loss of consciousness or ability to stand
6.) Hypoglycemia [Low blood sugar]
7.) Low Sodium levels
8.) Elevated Potassium
9.) Elevated Calcium
13.) Slurred Speech
Treatment for Crisis
- Standard therapy involves injections of a hormone.
- Large volumes of IV fluid including Dextrose.
- Fluid by mouth is the next treatment when patient becomes more stable.
**** Addison’s disease is named after Dr. Thomas Addison, the British physician who first described the condition in 1849