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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. i 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, br. 2, 2019, str. 125-129. https://doi.org/10.5457/p2005-114.241

Butorac Ahel, Ivona, Srećko Severinski, Kristina Lah Tomulić, Arijan Verbić, Ana Milardović i Mladen Jašić. "The Importance of Early Recognition and Prompt Treatment of Adrenal Crisis and Addison's Disease." Central European journal of paediatrics 15, br. 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), str. 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. [pristupljeno 05.12.2024.];15(2):125-129. doi: 10.5457/p2005-114.241

I. Butorac Ahel, S. Severinski, K. Lah Tomulić, A. Verbić, A. Milardović i M. Jašić, "The Importance of Early Recognition and Prompt Treatment of Adrenal Crisis and Addison's Disease", Central European journal of paediatrics, vol. 15, br. 2, str. 125-129, 2019. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:184:999040. [Citirano: 05.12.2024.]

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Podaci o radu
Naslov (engleski)The Importance of Early Recognition and Prompt Treatment of Adrenal Crisis and Addison's Disease
AutorIvona Butorac Ahel
AutorSrećko Severinski
AutorKristina Lah Tomulić
AutorArijan Verbić
AutorAna Milardović
AutorMladen Jašić
MBZ: 381121
Autorova ustanovaSveučilište u Rijeci
Medicinski fakultet
(Katedra za pedijatriju)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Pedijatrija
Sažetak (engleski)
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.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Prikaz slučaja
Status objaveObjavljen
Vrsta recenzijeRecenziran - međunarodna recenzija
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaCentral European journal of paediatrics
Brojčani podacivol. 15, br. 2, str. 125-129
p-ISSN2490-3639
DOIhttps://doi.org/10.5457/p2005-114.241
URN:NBNurn:nbn:hr:184:999040
Datum objave publikacije2019
URL dokumentahttp://bib.irb.hr/1048051
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Imenovanje-Nekomercijalno 4.0 međunarodna (CC BY-NC 4.0)
Datum i vrijeme pohrane2022-03-11 09:21:57