title: Rhabdomyolysis in acute primary adrenal insufficiency complicated by severe hyponatraemia.
abstract: Patients with acute adrenal insufficiency may have musculoskeletal symptoms including flexion contractures, myopathy and hyperkalaemic neuromyopathy. However, the association between rhabdomyolysis and acute adrenal insufficiency is extremely rare and has only been reported infrequently in the literature. Hyponatraemia is often present in association with acute adrenal insufficiency complicated by rhabdomyolysis. We herein report the case of a patient with acute primary adrenal insufficiency and severe hyponatraemia complicated by rhabdomyolysis and acute kidney injury.
authors.affiliation: Department of Gastroenterology, Flinders Medical Centre, Australia.
authors.forename: Su Yin
authors.initials: SY
authors.lastname: Lau
authors.forename: Tuck Yean
authors.initials: TY
authors.lastname: Yong
mesh_terms: D000208:Acute Disease; D058186:Acute Kidney Injury / Q000209:etiology* / Q000517:prevention & control; D000224:Addison Disease / Q000150:complications* / Q000188:drug therapy / Q000453:epidemiology*; D000328:Adult; D015897:Comorbidity; D005260:Female; D005438:Fludrocortisone / Q000627:therapeutic use; D005440:Fluid Therapy; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D007010:Hyponatremia / Q000188:drug therapy / Q000209:etiology*; D006435:Renal Dialysis; D012206:Rhabdomyolysis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology*; D016896:Treatment Outcome
chemical_list: D005438:Fludrocortisone; D006854:Hydrocortisone