血液透析患者肾上腺功能不全--一个认识不足的问题：病例系列。

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Hemodialysis International Pub Date : 2024-02-07 DOI:10.1111/hdi.13131

Krupa Shah, Jeffrey Wong, Kathy Mac, Namson S. Lau, Vincent M. Wong, Angela Makris

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引用次数: 0

摘要

肾上腺功能不全是一种不常见的疾病，表现为非特异性症状。由于肾上腺功能不全的症状和体征与慢性肾衰竭的症状和体征有很大的重叠，因此在需要透析的慢性肾病患者中识别肾上腺功能不全越来越困难。我们在一个病例系列中强调了这种诊断上的不确定性，该病例系列中的三位慢性肾脏病患者来自一个中心，需要通过血液透析作为肾脏替代疗法，他们被确认为肾上腺功能低下。类固醇替代治疗改善了症状和血液动力学参数。有必要提高对透析患者肾上腺功能不全的警惕。由于血液透析患者多病缠身，他们对肾上腺功能不全的认识可能不足。

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Adrenal insufficiency in hemodialysis patients—An under-recognized problem: A case series

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.

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.