Adrenal Insufficiency- A Short Review

Abstract

Adrenaline deficiency should be considered - any patient with unexplained severe hypoglycemia or hyponatremia. (1) The medical presentation is variable, depending on whether the onset is severe, leading to adrenal crisis or chronic, where the symptoms are vague and insidious. The diagnosis of adrenal insufficiency relies heavily on a critical level of clinical suspicion. Any patient who presents with peripheral vascular rupture may be suspected of having adrenal insufficiency, even if the patient does not have adrenal insufficiency. Similarly, isolated corticotropin (ACTH) deficiency, although rare.