Adrenal insufficiency in hemodialysis patients-An under-recognized problem: A case series.
Hemodial Int
; 28(2): 229-232, 2024 Apr.
Article
de En
| MEDLINE
| ID: mdl-38326988
ABSTRACT
Adrenal insufficiency is an uncommon disorder and presents with non-specific symptoms. Identifying adrenal insufficiency in patients with chronic kidney disease requiring dialysis is increasingly difficult as there is a significant overlap of the signs and symptoms of adrenal insufficiency with those seen in chronic kidney failure. We highlight this diagnostic uncertainty in a case series of three patients with chronic kidney disease requiring hemodialysis as renal replacement therapy from a single center identified as hypoadrenal. Steroid replacement improved symptoms and hemodynamic parameters. Increased vigilance for adrenal insufficiency in dialysis patients is necessary. It is likely under recognized in hemodialysis patients given their multi-morbidity.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Insuffisance surrénale
/
Insuffisance rénale chronique
/
Défaillance rénale chronique
Type d'étude:
Prognostic_studies
Limites:
Humans
Langue:
En
Journal:
Hemodial Int
Sujet du journal:
NEFROLOGIA
/
TERAPEUTICA
Année:
2024
Type de document:
Article
Pays d'affiliation:
Australie
Pays de publication:
Canada