Addison's disease diagnosis based on a skin lesion in primary care: case report
Abstract The Addison Disease, or primary adrenal insufficiency, is an insidious disease and rare, which may present high morbimortality levels when the diagnosis is unknown and the treatment doesn’t start at the right time. There is multiple symptoms, highlighting arterial hypotension, skin hyperpig...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2022 |
| País: | Brasil |
| Institución: | Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
| Repositorio: | Revista Brasileira de Medicina de Família e Comunidade (Online) |
| Idioma: | portugués inglés |
| OAI Identifier: | oai:ojs.rbmfc.org.br:article/2823 |
| Acceso en línea: | https://rbmfc.org.br/rbmfc/article/view/2823 |
| Access Level: | acceso abierto |
| Palabra clave: | Enfermedad de Addison Insuficiencia suprarrenal Informes de casos Atención primaria de salud. Doença de Addison Insuficiência adrenal Relatos de casos Atenção primária à saúde. Addison disease Adrenal insufficiency Cases reports Primary health care. |
| Sumario: | Abstract The Addison Disease, or primary adrenal insufficiency, is an insidious disease and rare, which may present high morbimortality levels when the diagnosis is unknown and the treatment doesn’t start at the right time. There is multiple symptoms, highlighting arterial hypotension, skin hyperpigmentation, hyponatremia and hyperkalemia. When left untreated, it can evolve with adrenal crisis and cardiovascular collapse. The Addison Disease diagnosis is clinical and through the laboratorial discoveries, as high adrenocorticotropic hormone (ACTH) levels and low cortisol plasmatic concentrations. The treatment depends on the cause and requires multidisciplinary approach, but overall can be done with glucocorticoids replacement and, occasionally, other hormones. This article describes an Addison Disease case diagnosed in Primary Health Assistance, an uncommon situation, due to the beginning nonspecific disease symptoms, which is not considered. Key-words: Addison Disease; Primary Adrenal Insufficiency; Case Report; Primary Health Assistance. |
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