Addison's disease diagnosis based on a skin lesion in primary care
case report
DOI:
https://doi.org/10.5712/rbmfc17(44)2823Keywords:
Addison disease, Adrenal insufficiency, Cases reports, Primary health care.Abstract
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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Copyright (c) 2022 Izabela Brugugnolli, Ana Olívia Guedes Leite, Giovanna Emanuella Piffer Soares Arantes, Leonardo Valentini Arf, João Pedro Martoneto Faccioli, Luis Gustavo Cunha Claudino
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