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. 1987 May;63(739):367–369. doi: 10.1136/pgmj.63.739.367

Missed Addisonian crisis in surgical wards.

M Small 1, A C MacCuish 1, J A Thomson 1
PMCID: PMC2428454  PMID: 3671270

Abstract

Three women were admitted to the surgical wards with acute gastro-intestinal symptoms and despite good clinical (pigmentation, hypotension) and biochemical (hyponatraemia, acidosis) evidence of Addisonian crisis had unnecessary investigations with delay in the diagnosis and appropriate management of this medical emergency. Clinicians should take careful note of the typical electrolyte upset seen in Addisonian crisis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Downie W. W., Gunn A., Paterson C. R., Howie G. F. Hypercalcaemic crisis as presentation of Addison's disease. Br Med J. 1977 Jan 15;1(6054):145–146. doi: 10.1136/bmj.1.6054.145-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Johnston D. G., Alberti K. G. Diabetic emergencies: practical aspects of the management of diabetic ketoacidosis and diabetes during surgery. Clin Endocrinol Metab. 1980 Nov;9(3):437–460. [PubMed] [Google Scholar]
  3. Mason A. S., Meade T. W., Lee J. A., Morris J. N. Epidemiological and clinical picture of Addison's disease. Lancet. 1968 Oct 5;2(7571):744–747. doi: 10.1016/s0140-6736(68)90948-3. [DOI] [PubMed] [Google Scholar]
  4. Muls E., Bouillon R., Boelaert J., Lamberigts G., Van Imschoot S., Daneels R., De Moor P. Etiology of hypercalcemia in a patient with Addison's disease. Calcif Tissue Int. 1982;34(6):523–526. doi: 10.1007/BF02411297. [DOI] [PubMed] [Google Scholar]
  5. Nerup J. Addison's disease--clinical studies. A report fo 108 cases. Acta Endocrinol (Copenh) 1974 May;76(1):127–141. doi: 10.1530/acta.0.0760127. [DOI] [PubMed] [Google Scholar]
  6. Sebastian A., Schambelan M., Lindenfeld S., Morris R. C., Jr Amelioration of metabolic acidosis with fludrocortisone therapy in hyporeninemic hypoaldosteronism. N Engl J Med. 1977 Sep 15;297(11):576–583. doi: 10.1056/NEJM197709152971104. [DOI] [PubMed] [Google Scholar]

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