Clinical analysis and literature review on repeated recurrent vomiting as the starting performance of adrenocortical hypofunction disease
ZHANG Yan
WANG Liang
SONG Xiao-yan
CHEN Li-ying
CHANG Xiao-yan
XU Hao-min
ZHAO Hui
ZHU Guang-qing
Abstract：Objective We aimed to discover the clinical characteristics of Atypical Chronic Addison's, and explore the reasons for misdiagnosis of this disease. Methods The clinical course and laboratory changes of Atypical Chronic Addison's cases were analyzed, and related literature was reviewed. Results Chronic Addison's is often ignored because of clinical latent, especially for its atypical symptoms at early stage. Adrenocortical crisis can be easily stimulated by stress, and can be life threatening without proper rescue methods. In this case, clinical features of atypical Chronic Addison's was not noticed even after the patient was hospitalized several times and took two adrenal gland CTs, and was finally confirmed after effective diagnostic therapy. Hyponatremia can be easily misdiagnosed because of its complicated etiology, which is adrenal tuberculosis and usually covered by irrelevant superficial phenomenon. Conclusion Recurring hyponatremia inconsistent with clinical process should be given a warning to raise the vigilance on Addison's; history tracking, adrenal cortisol detection, and CT examination can help reduce misdiagnosis.
Keywords：HyponatremiaAddison's diseaseAdrenal tuberculosis
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 146-148 )