ECE2023 Eposter Presentations Adrenal and Cardiovascular Endocrinology (124 abstracts)
Acute adrenal insufficiency revealed by a convulsive crisis
Chayma Besrour , Ibtissem Ben Nacef , Sabrine Mekni , Sawsen Essayeh , Nadia Mchirgui , Imen Rojbi & Karima Khiari
Charles Nicolle Hospital, Endocrinology, Tunis, Tunisia
Introduction: Adrenal insufficiency is defined as a deficit in the functioning of the adrenal cortex. The acute form represents a diagnostic and therapeutic emergency, but the clinical presentation is sometimes misleading.
Observation: We report the case of a 57-year-old patient with a personal history of vitiligo, who was suffering for two months from asthenia with abdominal pain and vomiting, then he presented with a generalized tonic-clonic convulsive seizure requiring his urgent transport to the neurology department. His blood pressure was at 100/70 mmHg and the Glasgow score at 14/15. Biology showed severe hyponatremia at 119 mmol/l with hyperkaliemia at 6 mmol/l. Hormone assay confirmed the diagnosis of acute adrenal insufficiency in the presence of cortisolemia <5 µg/dl with a high ACTH level at 102.6 ng/l. The patient was immediately put on hydrocortisone sodium succinate with a marked improvement. Complementary adrenal CT showed bilateral adrenal atrophy in favor of the autoimmune origin of the adrenal insufficiency.
Discussion: Acute adrenal insufficiency is a rare pathology but which involves the vital prognosis in the short term. It must always be suspected, particularly in the face of evocative ionic disorders or a clinical manifestation not explained by another pathology. It is mainly a therapeutic emergency, even without a positive diagnostic certainty.
Article tools
My recent searches
My recently viewed abstracts
Authors
Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
© Bioscientifica 2024 |
Privacy policy |
Cookie settings
BiosciAbstracts
Bioscientifica Abstracts is the gateway to a series of products that provide a permanent, citable record of abstracts for biomedical and life science conferences.
Find out more