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Scientific paper - Case study
The Importance of Early Recognition and Prompt Treatment of Adrenal Crisis and Addison's Disease
Central European journal of paediatrics, 15 (2019), 2; 125-129. https://doi.org/10.5457/p2005-114.241
Butorac Ahel, Ivona; Severinski, Srećko; Lah Tomulić, Kristina; Verbić, Arijan; Milardović, Ana; Jašić, Mladen

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Butorac Ahel, I., Severinski, S., Lah Tomulić, K., Verbić, A., Milardović, A. & Jašić, M. (2019). The Importance of Early Recognition and Prompt Treatment of Adrenal Crisis and Addison's Disease. Central European journal of paediatrics, 15. (2), 125-129. doi: 10.5457/p2005-114.241

Butorac Ahel, Ivona, et al. "The Importance of Early Recognition and Prompt Treatment of Adrenal Crisis and Addison's Disease." Central European journal of paediatrics, vol. 15, no. 2, 2019, pp. 125-129. https://doi.org/10.5457/p2005-114.241

Butorac Ahel, Ivona, Srećko Severinski, Kristina Lah Tomulić, Arijan Verbić, Ana Milardović and Mladen Jašić. "The Importance of Early Recognition and Prompt Treatment of Adrenal Crisis and Addison's Disease." Central European journal of paediatrics 15, no. 2 (2019): 125-129. https://doi.org/10.5457/p2005-114.241

Butorac Ahel, I., et al. (2019) 'The Importance of Early Recognition and Prompt Treatment of Adrenal Crisis and Addison's Disease', Central European journal of paediatrics, 15(2), pp. 125-129. doi: 10.5457/p2005-114.241

Butorac Ahel I, Severinski S, Lah Tomulić K, Verbić A, Milardović A, Jašić M. The Importance of Early Recognition and Prompt Treatment of Adrenal Crisis and Addison's Disease. Central European journal of paediatrics [Internet]. 2019 [cited 2025 March 02];15(2):125-129. doi: 10.5457/p2005-114.241

I. Butorac Ahel, S. Severinski, K. Lah Tomulić, A. Verbić, A. Milardović and M. Jašić, "The Importance of Early Recognition and Prompt Treatment of Adrenal Crisis and Addison's Disease", Central European journal of paediatrics, vol. 15, no. 2, pp. 125-129, 2019. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:999040. [Accessed: 02 March 2025]

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Metadata
Title (english)The Importance of Early Recognition and Prompt Treatment of Adrenal Crisis and Addison's Disease
AuthorIvona Butorac Ahel
AuthorSrećko Severinski
AuthorKristina Lah Tomulić
AuthorArijan Verbić
AuthorAna Milardović
AuthorMladen Jašić
MBZ: 381121
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Pediatrics)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Pediatrics
Abstract (english)
The aim of the paper was to emphasize the importance of early recognition and urgent treatment of adrenal crisis due to Addison’s disease in order to prevent potential lethal outcome. Case Report − A 13-year-old boy was presented to the emergency room with 2-days of vomiting, fatigue, and weakness, without diarrhea or fever. On admission he was in hypovolemic shock, febrile and hypoglycemic. The initial diagnosis was septic shock and the patient was treated with intravenous boluses, dobutamine and antibiotics. Blood pressure was consistently low despite adequate dose of dobutamine and intravenous hydration and the patient had hypoglycemia on two occasions. Subsequently, Addison’s disease was diagnosed on the basis of hyperpigmentation of the skin, low basal cortisol and high ACTH. He rapidly responded to intravenous stress doses of hydrocortisone, followed by hydrocortisone and fludrocortisone oral replacement therapy. Conclusion − Addison’s disease can be easily missed due to nonspecific symptoms and presentations, rarity of the condition, and low index of suspicion. In every patient with hyperpigmentation, hyponatremia, hyperkalemia, acidosis, and hypoglycemia, the diagnosis of Addison’s disease should be strongly suspected.
Keywords (english)
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleCentral European journal of paediatrics
Numberingvol. 15, no. 2, pp. 125-129
p-ISSN2490-3639
DOIhttps://doi.org/10.5457/p2005-114.241
URN:NBNurn:nbn:hr:184:999040
Publication2019
Document URLhttp://bib.irb.hr/1048051
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) icon
Created on2022-03-11 09:21:57