Acute Gastroenteritis Induced Adrenal Crisis in a patient with Congenital Adrenal Hyperplasia: A Case Report
Congenital Adrenal Hyperplasia is a group of autosomal recessive diseases due to deficiencies of enzymes involved in steroidogenesis. If not diagnosed and treated adequately, Congenital Adrenal Hyperplasia can lead to an acute adrenal crisis with hemodynamic collapse. Acute stressors and steroid in...
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| Format: | Article |
| Language: | English |
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Nepal Medical Association
2023-01-01
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| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/7926 |
| _version_ | 1811177066442260480 |
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| author | Nibedita Chapagain Aayam Adhikari Nishob Adhikari Santosh Paudel Deependra Mandal |
| author_facet | Nibedita Chapagain Aayam Adhikari Nishob Adhikari Santosh Paudel Deependra Mandal |
| author_sort | Nibedita Chapagain |
| collection | DOAJ |
| description |
Congenital Adrenal Hyperplasia is a group of autosomal recessive diseases due to deficiencies of enzymes involved in steroidogenesis. If not diagnosed and treated adequately, Congenital Adrenal Hyperplasia can lead to an acute adrenal crisis with hemodynamic collapse. Acute stressors and steroid insufficiency precipitate an adrenal crisis. The major clinical features are hypotension and volume depletion. Nonspecific symptoms such as fatigue, lack of energy, anorexia, nausea, vomiting, and abdominal pain are common. We report a case of a 3-year male previously diagnosed with congenital adrenal hyperplasia in adrenal crisis secondary to medicine noncompliance and gastroenteritis. The diagnosis was based on the clinical history and biochemical investigations. After initial resuscitation was managed; lifelong oral prednisolone and fludrocortisone were prescribed.
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| first_indexed | 2024-04-10T22:56:52Z |
| format | Article |
| id | doaj.art-63c25c7763154b3184805b7ca5ddbc6a |
| institution | Directory Open Access Journal |
| issn | 0028-2715 1815-672X |
| language | English |
| last_indexed | 2024-04-10T22:56:52Z |
| publishDate | 2023-01-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj.art-63c25c7763154b3184805b7ca5ddbc6a2023-01-14T09:41:04ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2023-01-016125710.31729/jnma.7926Acute Gastroenteritis Induced Adrenal Crisis in a patient with Congenital Adrenal Hyperplasia: A Case ReportNibedita Chapagain0Aayam Adhikari1Nishob Adhikari2Santosh Paudel3Deependra Mandal4Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Congenital Adrenal Hyperplasia is a group of autosomal recessive diseases due to deficiencies of enzymes involved in steroidogenesis. If not diagnosed and treated adequately, Congenital Adrenal Hyperplasia can lead to an acute adrenal crisis with hemodynamic collapse. Acute stressors and steroid insufficiency precipitate an adrenal crisis. The major clinical features are hypotension and volume depletion. Nonspecific symptoms such as fatigue, lack of energy, anorexia, nausea, vomiting, and abdominal pain are common. We report a case of a 3-year male previously diagnosed with congenital adrenal hyperplasia in adrenal crisis secondary to medicine noncompliance and gastroenteritis. The diagnosis was based on the clinical history and biochemical investigations. After initial resuscitation was managed; lifelong oral prednisolone and fludrocortisone were prescribed. https://www.jnma.com.np/jnma/index.php/jnma/article/view/7926adrenal insufficiency; gastroenteritis; glucocorticoids. |
| spellingShingle | Nibedita Chapagain Aayam Adhikari Nishob Adhikari Santosh Paudel Deependra Mandal Acute Gastroenteritis Induced Adrenal Crisis in a patient with Congenital Adrenal Hyperplasia: A Case Report Journal of Nepal Medical Association adrenal insufficiency; gastroenteritis; glucocorticoids. |
| title | Acute Gastroenteritis Induced Adrenal Crisis in a patient with Congenital Adrenal Hyperplasia: A Case Report |
| title_full | Acute Gastroenteritis Induced Adrenal Crisis in a patient with Congenital Adrenal Hyperplasia: A Case Report |
| title_fullStr | Acute Gastroenteritis Induced Adrenal Crisis in a patient with Congenital Adrenal Hyperplasia: A Case Report |
| title_full_unstemmed | Acute Gastroenteritis Induced Adrenal Crisis in a patient with Congenital Adrenal Hyperplasia: A Case Report |
| title_short | Acute Gastroenteritis Induced Adrenal Crisis in a patient with Congenital Adrenal Hyperplasia: A Case Report |
| title_sort | acute gastroenteritis induced adrenal crisis in a patient with congenital adrenal hyperplasia a case report |
| topic | adrenal insufficiency; gastroenteritis; glucocorticoids. |
| url | https://www.jnma.com.np/jnma/index.php/jnma/article/view/7926 |
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