title: Exaggerated postsurgical inflammation in a patient with insufficiently treated Addison disease.
abstract: A patient with Addison disease developed fever, pain, and marked orbital inflammation 3 days after evisceration in the setting of perforated corneal ulcer. He was treated for presumed orbital cellulitis without improvement. Increasing the corticosteroid dose for his Addison disease resulted in complete resolution of the inflammation.
authors.affiliation: Ophthalmic Consultants of Boston, Boston, Massachusetts 02114, USA. mphatton@eyeboston.com
authors.forename: Mark P
authors.initials: MP
authors.lastname: Hatton
authors.forename: Marlene L
authors.initials: ML
authors.lastname: Durand
authors.forename: Sean M
authors.initials: SM
authors.lastname: Burns
authors.forename: Eissa
authors.initials: E
authors.lastname: Hanna
authors.forename: Frederick A
authors.initials: FA
authors.lastname: Jakobiec
mesh_terms: D000224:Addison Disease / Q000188:drug therapy* / Q000503:physiopathology; D003320:Corneal Ulcer / Q000150:complications; D003907:Dexamethasone / Q000008:administration & dosage*; D017234:Eye Evisceration / Q000009:adverse effects*; D005334:Fever / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054517:Orbital Cellulitis / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D010146:Pain / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed
chemical_list: D005938:Glucocorticoids; D003907:Dexamethasone