Patel Priya, Kelschenbach Kyle
Internal Medicine, Florida Atlantic University, Boca Raton, USA.
Cureus. 2022 Aug 2;14(8):e27605. doi: 10.7759/cureus.27605. eCollection 2022 Aug.
Primary adrenal insufficiency occurs when the production of glucocorticoid and mineralocorticoid hormones from the adrenal cortex decreases. Cardiovascular manifestations, although a rare sequela in acute adrenal insufficiency, include arrhythmias, heart failure and ischemia. Rapid identification and treatment are crucial as mortality can occur rapidly. We present a patient with no underlying adrenal dysfunction who presented with worsening renal function and subsequent development of acute adrenal insufficiency manifesting with hypothermia, hypotension, and junctional rhythm requiring vasopressor support along with hydrocortisone therapy.
原发性肾上腺功能不全是指肾上腺皮质产生的糖皮质激素和盐皮质激素减少。心血管表现虽然是急性肾上腺功能不全中罕见的后遗症，但包括心律失常、心力衰竭和缺血。由于可能迅速发生死亡，快速识别和治疗至关重要。我们报告一例无潜在肾上腺功能障碍的患者，该患者出现肾功能恶化，随后发展为急性肾上腺功能不全，表现为体温过低、低血压和交界性心律，需要血管加压药支持以及氢化可的松治疗。
