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Acute Diarrhea Isn't Always Infectious: An Atypical Presentation of Adrenal Insufficiency
Ariana Tagliaferri1, Arielle Aiken1, Madhav Patel2
1St. Joseph's University Medical Center, Department of Internal Medicine, 703 Main St, Paterson, NJ, 07503, USA.
Journal of Community Hospital Internal Medicine Perspectives
|February 23, 2023
Summary
Adrenal insufficiency, a hormone deficiency, can present with unusual symptoms like diarrhea, complicating diagnosis. This case highlights diarrhea as a potential sign during an adrenal crisis.
Area of Science:
- Endocrinology
- Gastroenterology
Background:
- Adrenal insufficiency stems from hormone deficiency or hypothalamic-pituitary axis suppression.
- Diagnosis is often difficult due to non-specific and subtle symptoms.
Observation:
- A patient with undiagnosed adrenal insufficiency experienced subacute diarrhea.
- This occurred during an adrenal crisis following dental work and esophagogastroduodenoscopy.
Findings:
- Diarrhea is an atypical symptom of adrenal insufficiency.
- It can be misdiagnosed as infectious disease, especially during an adrenal crisis.
Implications:
- Recognizing diarrhea as a potential symptom can aid in diagnosing adrenal insufficiency.
- This case underscores the importance of considering adrenal crisis in patients with unexplained gastrointestinal symptoms.
Keywords:
Acute diarrheaAddison diseaseAdrenal crisisAdrenal insufficiencyAutoimmune diseaseEndocrinopathiesMore Related Videos
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