Oxford Academic. Google Scholar. Adnan Haider, MD. Oksana Symczyk, MD. Select Format Select format. Permissions Icon Permissions. Issue Section:. Download all slides. View Metrics. Email alerts Article activity alert. Advance article alerts. They had at least one symptom, such as eosinophilia, hypoglycemia, or fever.
The prevalence of hypercalcemia due to adrenal insufficiency was 1. The causes of adrenal insufficiency were isolated ACTH deficiency, pituitary apoplexy, pituitary atrophy, glucocorticoid withdrawal syndrome, and unilateral adrenalectomy. Serum calcium Ca levels corrected by serum albumin were maximally increased to Single CRH injections failed to increase serum cortisol in any of the patients. Glucocorticoid replacement acutely normalized serum Ca and decreased levels of carboxy-terminal telopeptide of type I collagen, a marker of bone resorption.
Conclusion Adrenal insufficiency could therefore be an occult cause of hypercalcemia in anuric HD patients who are critically ill. Japanese Journal of Medicine. Already have an account? The clinical picture may overlap with that of primary hypercalcaemia so the diagnosis is important to consider. Thyroid replacement therapy mediates increased calcium mobilisation from bone in the setting of corticosteroid deficiency - contributing to hypercalcaemia.
Initiation of thyroxine may cause clinical deterioration in a patient with underlying adrenal insufficiency. Declaration of interest: There is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported. Funding: No specific grant from any funding agency in the public, commercial or not-for-profit sector. Browse other volumes. Biosci Abstracts Bioscientifica Abstracts is the gateway to a series of products that provide a permanent, citable record of abstracts for biomedical and life science conferences.
Searchable abstracts of presentations at key conferences in endocrinology. Endocrine Abstracts.
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