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Updated: Mar 23, 2026

Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
Published on: October 2, 2020
Adrenal insufficiency presenting as unexplained hypotension in nocturnal home hemodialysis
Timothy Jee Kam Koh1,2, Christopher T Chan1
1Department of Internal Medicine, Division of Nephrology, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada.
Abstract:
Adrenal insufficiency is a complication of chronic corticosteroid therapy. Unexplained hypotension may be a manifestation of an adrenal insufficient state in patients with a history of corticosteroid therapy on hemodialysis. We present a series of five cases of patients on nocturnal home hemodialysis with hypotension as the main manifestation of adrenal insufficiency. Unexplained hypotension in patients with a history of corticosteroid therapy should prompt the managing clinician to consider adrenal insufficiency as a possible cause.
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