Delay in Diagnosis of Adrenal Insufficiency Is a Frequent Cause of Adrenal Crisis
Delay of diagnosis of primary adrenal insufficiency (PAI) leads to adrenal crisis which is potentially lethal complication. The objective of our work was an assessment whether the establishment of diagnosis of adrenocortical insufficiency in Poland is so much delayed as assessed in the past. We hav...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2013/482370 |
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| author | Lucyna Papierska Michał Rabijewski |
| author_facet | Lucyna Papierska Michał Rabijewski |
| author_sort | Lucyna Papierska |
| collection | DOAJ |
| description | Delay of diagnosis of primary adrenal insufficiency (PAI) leads to adrenal crisis which is potentially lethal complication. The objective of our work was an assessment whether the establishment of diagnosis of adrenocortical insufficiency in Poland is so much delayed as assessed in the past. We have analysed data from 60 patients with diagnosis of PAI established in our department during the past 12 years and who are still under our care. We found that the time to diagnosis of primary adrenal insufficiency in Poland exceeds 3 months in every patient and 6 months in patients admitted with symptoms of adrenal crisis. Forty-four percent of patients were diagnosed only just after the hospitalisation due to crisis, despite the evident signs and symptoms of PAI. Lack of appetite and loss of body weight occurred in all patients and for that reason a diagnosis of chronic gastric and duodenal ulcer disease was the most often incorrect diagnosis. After the proper diagnosis and treatment, in the course of 1–11 years of observation, there was only 6 imminent adrenal crises in 5 patients. Our results indicated that training of primary care physicians in the field of recognising and treatment of adrenal insufficiency is still essential. |
| format | Article |
| id | doaj-art-18f17c91dd6147248729cb3d40c4bd71 |
| institution | OA Journals |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-18f17c91dd6147248729cb3d40c4bd712025-08-20T02:02:15ZengWileyInternational Journal of Endocrinology1687-83371687-83452013-01-01201310.1155/2013/482370482370Delay in Diagnosis of Adrenal Insufficiency Is a Frequent Cause of Adrenal CrisisLucyna Papierska0Michał Rabijewski1Clinic of Endocrinology, The Centre of Postgraduate Medical Education, Warsaw, PolandClinic of Endocrinology, The Centre of Postgraduate Medical Education, Warsaw, PolandDelay of diagnosis of primary adrenal insufficiency (PAI) leads to adrenal crisis which is potentially lethal complication. The objective of our work was an assessment whether the establishment of diagnosis of adrenocortical insufficiency in Poland is so much delayed as assessed in the past. We have analysed data from 60 patients with diagnosis of PAI established in our department during the past 12 years and who are still under our care. We found that the time to diagnosis of primary adrenal insufficiency in Poland exceeds 3 months in every patient and 6 months in patients admitted with symptoms of adrenal crisis. Forty-four percent of patients were diagnosed only just after the hospitalisation due to crisis, despite the evident signs and symptoms of PAI. Lack of appetite and loss of body weight occurred in all patients and for that reason a diagnosis of chronic gastric and duodenal ulcer disease was the most often incorrect diagnosis. After the proper diagnosis and treatment, in the course of 1–11 years of observation, there was only 6 imminent adrenal crises in 5 patients. Our results indicated that training of primary care physicians in the field of recognising and treatment of adrenal insufficiency is still essential.http://dx.doi.org/10.1155/2013/482370 |
| spellingShingle | Lucyna Papierska Michał Rabijewski Delay in Diagnosis of Adrenal Insufficiency Is a Frequent Cause of Adrenal Crisis International Journal of Endocrinology |
| title | Delay in Diagnosis of Adrenal Insufficiency Is a Frequent Cause of Adrenal Crisis |
| title_full | Delay in Diagnosis of Adrenal Insufficiency Is a Frequent Cause of Adrenal Crisis |
| title_fullStr | Delay in Diagnosis of Adrenal Insufficiency Is a Frequent Cause of Adrenal Crisis |
| title_full_unstemmed | Delay in Diagnosis of Adrenal Insufficiency Is a Frequent Cause of Adrenal Crisis |
| title_short | Delay in Diagnosis of Adrenal Insufficiency Is a Frequent Cause of Adrenal Crisis |
| title_sort | delay in diagnosis of adrenal insufficiency is a frequent cause of adrenal crisis |
| url | http://dx.doi.org/10.1155/2013/482370 |
| work_keys_str_mv | AT lucynapapierska delayindiagnosisofadrenalinsufficiencyisafrequentcauseofadrenalcrisis AT michałrabijewski delayindiagnosisofadrenalinsufficiencyisafrequentcauseofadrenalcrisis |