[Pediatric emergency: adrenal insufficiency and adrenal crisis].
Adrenal insufficiency is defined by impaired secretion of adrenocortical hormones. It is classified upon the etiology in primary and secondary. Rapid recognition and therapy of adrenocortical crisis are critical to survival. Patients often have nonspecific symptoms: anorexia, vomiting, weakness, fatigue and lethargy. They are followed by hypotension, shock, hypoglicemia, hyponatremia and hyperkalemia. All patients with adrenal insufficiency require urgent fluid reposition, correction of hypoglycemia and glucocorticoid replacement, in order to avoid serious consequences of adrenal crisis. After initial crisis treatment, maintenance dose of corticoids should be indicated. Mineralocorticoids replacement, if necessary, should also be initiated.
Martínez
Alicia
A
Centro de Investigaciones Endocrinológicas, CONICET, Buenos Aires. amartinez@cedie.org.ar
Pasqualini
Titania
T
Stivel
Mirta
M
Heinrich
Juan Jorge
JJ
D000309:Adrenal Insufficiency / Q000628:therapy; D002648:Child; D004630:Emergencies; D006801:Humans; D012720:Severity of Illness Index