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Published on: May 10, 2018
Failed titration of endocrine replacement therapy: diagnostic significance
1Retired Geriatrician, c/o Manchester Medical Society, Manchester M13 9PL.
Abstract:
Unsuccessful titration of endocrine replacement therapy may signify the coexistence of an unrecognized disorder which alters the response to replacement therapy. Examples include recurrent hypoglycaemia when type 1 diabetes mellitus coexists with either Addison's disease or coeliac disease. Recurrent Addisonian crisis occurs when Addison's disease coexists with thyrotoxicosis. Conversely, in a patient with Addison's disease, recognition and treatment of coexisting coeliac disease may facilitate a reduction in corticosteroid dosage.
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