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Published on: October 6, 2023
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Endocrine Fever
Sanjay Kalra1, Saptarshi Bhattacharya2, Atul Dhingra3
1Department of Endocrinology, Bharti Hospital, Karnal, India; University Center for Research & Development, Chandigarh University, Mohali, India.
Summary
Fever can stem from endocrine dysfunction, not just infection. Recognizing these
Area of Science:
- Endocrinology
- Internal Medicine
- Pathophysiology
Background:
- Fever is commonly attributed to infectious or inflammatory causes.
- Endocrine disorders are often overlooked as potential sources of fever.
- Understanding the link between endocrine system and fever is crucial for comprehensive diagnosis.
Purpose of the Study:
- To explore the multifaceted connections between fever and endocrine dysfunction.
- To introduce the concept of 'endocrine fever' encompassing various endocrine-related febrile conditions.
- To highlight the importance of considering endocrine etiologies in unexplained fever.
Main Methods:
- Literature review of endocrine disorders associated with fever.
- Analysis of clinical presentations linking endocrine dysfunction and fever.
- Categorization of fever causes within endocrine pathologies and treatments.
Main Results:
- Impaired resistance to infection in conditions like diabetes and Cushing's syndrome can cause fever.
- Specific endocrine disorders such as hyperthyroidism, subacute thyroiditis, carcinoid syndrome, and pheochromocytoma can present with fever.
- Fever is an adverse effect of certain endocrine treatments, including bisphosphonates and antithyroid drugs.
Conclusions:
- 'Endocrine fever' is a recognized phenomenon linking endocrine dysfunction and febrile states.
- Increased awareness of these associations can improve diagnostic accuracy for fever of unknown origin.
- Prompt diagnosis and management of endocrine fever can lead to better patient outcomes.
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