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Adrenal insufficiency in hemodialysis patients-An under-recognized problem: A case series.

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العنوان: Adrenal insufficiency in hemodialysis patients-An under-recognized problem: A case series.
المؤلفون: Shah K; Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australia., Wong J; Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australia., Mac K; Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australia., Lau NS; Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australia.; South West Sydney Clinical School, University of NSW, Sydney, Australia., Wong VM; Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australia.; South West Sydney Clinical School, University of NSW, Sydney, Australia., Makris A; Liverpool Hospital, South Western Sydney Local Health District, Sydney, Australia.; South West Sydney Clinical School, University of NSW, Sydney, Australia.; School of Medicine, Western Sydney University, Sydney, Australia.
المصدر: Hemodialysis international. International Symposium on Home Hemodialysis [Hemodial Int] 2024 Apr; Vol. 28 (2), pp. 229-232. Date of Electronic Publication: 2024 Feb 07.
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Blackwell Pub Country of Publication: Canada NLM ID: 101093910 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1542-4758 (Electronic) Linking ISSN: 14927535 NLM ISO Abbreviation: Hemodial Int Subsets: MEDLINE
أسماء مطبوعة: Publication: <2003-> : Malden, MA : Blackwell Pub.
Original Publication: Milton, ON : Multimed Inc., c2000-
مواضيع طبية MeSH: Adrenal Insufficiency*/drug therapy , Adrenal Insufficiency*/etiology , Adrenal Insufficiency*/diagnosis , Kidney Failure, Chronic*/complications , Kidney Failure, Chronic*/therapy , Renal Insufficiency, Chronic*, Humans ; Renal Dialysis/adverse effects
مستخلص: Adrenal insufficiency is an uncommon disorder and presents with non-specific symptoms. Identifying adrenal insufficiency in patients with chronic kidney disease requiring dialysis is increasingly difficult as there is a significant overlap of the signs and symptoms of adrenal insufficiency with those seen in chronic kidney failure. We highlight this diagnostic uncertainty in a case series of three patients with chronic kidney disease requiring hemodialysis as renal replacement therapy from a single center identified as hypoadrenal. Steroid replacement improved symptoms and hemodynamic parameters. Increased vigilance for adrenal insufficiency in dialysis patients is necessary. It is likely under recognized in hemodialysis patients given their multi-morbidity.
(© 2024 International Society for Hemodialysis.)
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فهرسة مساهمة: Keywords: adrenal insufficiency; glucocorticoid use; hemodialysis patients; kidney failure
تواريخ الأحداث: Date Created: 20240208 Date Completed: 20240415 Latest Revision: 20240415
رمز التحديث: 20240415
DOI: 10.1111/hdi.13131
PMID: 38326988
قاعدة البيانات: MEDLINE
الوصف
تدمد:1542-4758
DOI:10.1111/hdi.13131