Endocrine Abstracts

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Appropriate hydrocortisone adjustment by the patient himself in situations of increased demand, e.g. in gastrointestinal or febrile infections, is indispensable to prevent adrenal crises (AC). Previous studies revealed a lack of knowledge concerning self-management in patients with AI. A comprehensive patient education is one of the key measures to avoid life-threatening AC. In November 2014, a working group of the adrenal section in the German Endocrine Society (DGE) met to d...

This case study is part of the Nurses session -Adrenal Crisis and steroid education.The incidence of Adrenal Crisis in secondary Adrenal Insufficiency is high and associated with substantial mortality. However the etiology is not always obvious. Advances in comprehensive patient education including self-administration of hydrocortisone is crucial to eliminate death from Adrenal Crisis. Other advances in the United Kingdom have been implemented to assist allied health care prof...

Delay in establishing a diagnosis of adrenal insufficiency can lead to adrenal crisis. An adrenal crisis is a potential life-threatening complication of adrenal insufficiency, and can lead to increased morbidity and mortality if not treated appropriately. Adrenal crises have been defined as ‘acute disturbances of physiology that happen when the circulating levels of adrenal steroid hormones are insufficient for physiological requirements’. Adrenal crisis related deat...