دورية أكاديمية
Excessive pickle consumption: beware of adrenal crisis.
| العنوان: | Excessive pickle consumption: beware of adrenal crisis. |
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| المؤلفون: | Ndoudi-Likoho B; Paediatric Intensive Care Unit, Robert-Debré University Hospital, Assistance Publique-Hôpitaux de Paris, and University Paris Cité, Paris, France., Simon D; Paediatric Endocrinology Unit, Robert-Debré University Hospital, Assistance Publique-Hôpitaux de Paris, and University Paris Cité, Paris, France., Maroni A; Paediatric Intensive Care Unit, Robert-Debré University Hospital, Assistance Publique-Hôpitaux de Paris, and University Paris Cité, Paris, France., Dauger S; Paediatric Intensive Care Unit, Robert-Debré University Hospital, Assistance Publique-Hôpitaux de Paris, and University Paris Cité, Paris, France., Levy M; Paediatric Intensive Care Unit, Robert-Debré University Hospital, Assistance Publique-Hôpitaux de Paris, and University Paris Cité, Paris, France. Electronic address: levy-michael@live.fr. |
| المصدر: | Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [Arch Pediatr] 2024 May; Vol. 31 (4), pp. 279-282. Date of Electronic Publication: 2024 Apr 20. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: France NLM ID: 9421356 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1769-664X (Electronic) Linking ISSN: 0929693X NLM ISO Abbreviation: Arch Pediatr Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Paris : Elsevier Original Publication: Paris : Editions Scientifiques Elsevier, 1994- |
| مواضيع طبية MeSH: | Addison Disease*/diagnosis , Addison Disease*/complications , Addison Disease*/etiology, Humans ; Adolescent ; Male ; Shock/etiology ; Shock/diagnosis ; Hyponatremia/etiology ; Hyponatremia/diagnosis ; Hyponatremia/therapy ; Adrenal Insufficiency/diagnosis ; Adrenal Insufficiency/etiology ; Heart Arrest/etiology ; Heart Arrest/diagnosis |
| مستخلص: | Adrenal insufficiency (AI) is one of the most life-threatening disorders resulting from adrenal cortex dysfunction. Symptoms and signs of AI are often nonspecific, and the diagnosis can be missed and lead to the development of AI with severe hypotension and hypovolemic shock. We report the case of a 13-year-old child admitted for cardiac arrest following severe hypovolemic shock. The patient initially presented with isolated mild abdominal pain and vomiting together with unexplained hyponatremia. He was discharged after an initial short hospitalization with rehydration but with persistent hyponatremia. After discharge, he had persistent refractory vomiting, finally leading to severe dehydration and extreme asthenia. He was admitted to pediatric intensive care after prolonged hypovolemic cardiac arrest with severe anoxic encephalopathy leading to brain death. After re-interviewing, the child's parents reported that he had experienced polydipsia, a pronounced taste for salt with excessive consumption of pickles lasting for months, and a darkened skin since their last vacation 6 months earlier. A diagnosis of autoimmune Addison's disease was made. Primary AI is a rare life-threatening disease that can lead to hypovolemic shock. The clinical symptoms and laboratory findings are nonspecific, and the diagnosis should be suspected in the presence of unexplained collapse, hypotension, vomiting, or diarrhea, especially in the case of hyponatremia. (Copyright © 2024 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Adrenal insufficiency; Cardiac arrest; Hyperkalemia; Hyponatremia; Shock |
| تواريخ الأحداث: | Date Created: 20240421 Date Completed: 20240517 Latest Revision: 20240702 |
| رمز التحديث: | 20240703 |
| DOI: | 10.1016/j.arcped.2024.02.005 |
| PMID: | 38644058 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1769-664X |
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| DOI: | 10.1016/j.arcped.2024.02.005 |