title: [Adrenal insufficiency caused by treatment with levothyroxine].
abstract: Primary adrenal insufficiency is a rare disease. Its diagnosis remains a clinical challenge since the signs and symptoms of the disease are insidious in onset and non specific in nature. A case report of Addison's crisis induced by levothyroxine substitution therapy is described. This clinical case is discussed in details with a special emphasis to the published literature regarding the strategy of diagnosis and the specific therapy of primary adrenal insufficiency.
authors.affiliation: Département de Médecine Interne, Centre Hospitalier Universitaire Vaudois, Lausanne.
authors.forename: L
authors.initials: L
authors.lastname: Rey
authors.forename: C
authors.initials: C
authors.lastname: Bulliard
authors.forename: F
authors.initials: F
authors.lastname: Pralong
authors.forename: G
authors.initials: G
authors.lastname: Waeber
mesh_terms: D000224:Addison Disease / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy; D000328:Adult; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D005260:Female; D005438:Fludrocortisone / Q000008:administration & dosage; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage; D007037:Hypothyroidism / Q000188:drug therapy*; D013967:Thyroiditis, Autoimmune / Q000188:drug therapy*; D013974:Thyroxine / Q000009:adverse effects* / Q000627:therapeutic use
chemical_list: D013974:Thyroxine; D005438:Fludrocortisone; D006854:Hydrocortisone
vernacular_title: Insuffisance corticosurrénalienne précipitée par un traitement de lévothyroxine.