A Disease That Should Be Considered in Case of Fatigue and Weight Loss in Children and Adolescents: Adrenal Insufficiency

Year 2021, Volume: 15 Issue: 4, 337 - 340, 16.07.2021

Coşkun Armağan Ahu Paketçi Sezer Acar Yağmur Damla Akçura İbrahim Mert Erbaş Ayhan Abacı Ece Böber Korcan Demir

https://doi.org/10.12956/tchd.799273

Abstract

Adrenal insufficiency cases may either present with adrenal crisis (characterized by life-threatening hypotension, shock) or nonspecific symptoms. It is vital to diagnose and treat patients before adrenal crisis, which is associated with high mortality and morbidity. With this report, it is aimed to emphasize adrenal insufficiency in the childhood age group via description of a 16-year-old girl who developed symptoms of excessive weight loss, skin darkening and weakness while being followed-up due to Hashimoto's thyroiditis and was eventually diagnosed with Addison's disease.

Keywords

Hypothyroidism, Hashimoto’s Thyroiditis, Hyponatremia, 21-hydroxylase autoantibody, APS Type 2

Çocuk ve Adolesanlarda Halsizlik ve Kilo Kaybı Durumunda Akla Gelmesi Gereken Bir Hastalık: Adrenal Yetmezlik

Abstract

Adrenal yetmezlik olguları, hayatı tehdit eden şok ile karakterize adrenal kriz tablosu ile karşımıza çıkabileceği gibi özgün olmayan belirtilerle de başvurabilir. Hastaların, mortalite ve morbiditesi yüksek olan adrenal kriz tablosu öncesinde tanınıp tedavi edilmesi hayati öneme sahiptir. Bu makale ile Hashimoto tiroditi nedeniyle izlemde iken aşırı kilo kaybı, halsizlik, cilt renginde koyulaşma bulguları gelişen ve Addison Hastalığı tanısı alan 16 yaşındaki kız olgu üzerinden çocukluk yaş grubunda adrenal yetmezlik tablosunun vurgulanması amaçlanmıştır.

Keywords

Hipotiroidi, Hashimoto tiroiditi, Hiponatremi, Otoimmun tiroidit, 21-hidroksilaz otoantikoru, OPS Tip 2

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