title: Guidelines for the diagnosis and treatment of adrenal insufficiency in the adult.
abstract: Adrenal insufficiency (AI) is a disease characterized by a deficient production or action of glucocorticoids, with or without deficiency in mineral corticoids and/or adrenal androgens. It can result from disease intrinsic to the adrenal cortex (primary AI), from pituitary diseases that hamper the release of corticotropin (secondary AI) or from hypothalamic disorders that impair the secretion of the corticotropin-releasing hormone (tertiary AI). It is a disease with a low prevalence but its impact on the affected individual is very high as it can be life-threathening if not treated or lead to health problems if inadequately treated. However, currently there are no specific guidelines for the management of this disease. Therefore, at the proposal of the Spanish Society of Endocrinology and Nutrition (SEEN) board, a task-force under the Neuroendocrinology Knowledge Area of the SEEN was established, with the mandate of updating the diagnosis and treatment of AI. In fulfilment of this mandate the task-force has elaborated the present guide that, based on a comprehensive review of literature, is intended to provide an answer to questions related to the management of this disease. It is, therefore, an essentially practical document, mainly aimed at guiding the health professionals involved in the care of IA patients.
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Clínico de San Carlos, Madrid, España. Electronic address: pazdemiguel@telefonica.net.
authors.forename: Paz
authors.initials: P
authors.lastname: de Miguel Novoa
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Universitario San Cecilio, Granada, España.
authors.forename: Elena Torres
authors.initials: ET
authors.lastname: Vela
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Universitario Puerta de Hierro de Majadahonda, Majadahonda, Madrid, España.
authors.forename: Nuria Palacios
authors.initials: NP
authors.lastname: García
authors.affiliation: Servicio de Endocrinología y Nutrición, Complejo Asistencial Universitario de Palencia, Palencia, España.
authors.forename: Manuela Moreira
authors.initials: MM
authors.lastname: Rodríguez
authors.affiliation: Servicio de Endocrinología y Nutrición, Complexo Hospitalario Universitario de Ourense, Ourense, España.
authors.forename: Icíar Solache
authors.initials: IS
authors.lastname: Guerras
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital San Pedro, Logroño, España.
authors.forename: María de Los Ángeles
authors.initials: Mde L
authors.lastname: Martínez de Salinas Santamaría
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital de Sant Pau, Barcelona, España.
authors.forename: Anna Aulinas
authors.initials: AA
authors.lastname: Masó
mesh_terms: D000309:Adrenal Insufficiency / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D000328:Adult; D000465:Algorithms; D006801:Humans
keywords: Adrenal insufficiency; Diagnosis; Diagnóstico; Insuficiencia adrenal; Tratamiento; Treatment