成人原发性肾上腺功能不全：何时怀疑、如何诊断和处理。

IF 3.4 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Cleveland Clinic Journal of Medicine Pub Date : 2024-09-03 DOI:10.3949/ccjm.91a.23072

Michelle D Lundholm, Jayachidambaram Ambalavanan, Pratibha Pr Rao

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引用次数: 0

摘要

原发性肾上腺功能不全非常罕见，但却很严重；由于皮质醇和醛固酮分泌不足，患者面临急性衰竭和肾上腺危象的风险。此外，原发性肾上腺功能不全的诊断往往被延误，或被误诊为继发性肾上腺功能不全，从而导致危及生命的后果。早期识别和适当治疗可大大改善患者的预后和生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Primary adrenal insufficiency in adults: When to suspect, how to diagnose and manage.

Primary adrenal insufficiency is rare but serious; it puts patients at risk of acute decompensation and adrenal crisis due to insufficient cortisol and aldosterone production. Further, its diagnosis is often delayed, or it is mistaken for secondary adrenal insufficiency, which can have life-threatening consequences. Early recognition and appropriate treatment can greatly improve patient outcomes and quality of life.

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来源期刊

Cleveland Clinic Journal of Medicine 医学-医学：内科

CiteScore

3.80

自引率

0.00%

发文量

109

审稿时长

6-12 weeks

期刊介绍： The mission of Cleveland Clinic Journal of Medicine (CCJM) is to provide its readers with up-to-date, practical, clinical information relevant to internal medicine, cardiology, and related fields. Consistent with this mission, CCJM focuses on timely review articles and other content that has a continuing-education orientation rather than on original research or case reports. CCJM authors, drawn from Cleveland Clinic and other top medical institutions throughout the world, are asked to identify new findings that are changing the practice of medicine and to advise readers how to apply them in daily patient care. Authors are chosen for their experience, acquired through caring for patients, teaching other physicians, and researching clinical questions.