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https://swslhd.intersearch.com.au/swslhdjspui/handle/1/12557| Title: | Adrenal insufficiency in hemodialysis patients?An under-recognized problem: A case series |
| Author: | Shah, K. Wong, J. Mac, K. Lau, N. S. Wong, V. M. Makris, A. |
| Issue Date: | 2024 |
| Journal: | Hemodialysis International |
| Abstract: | Adrenal insufficiency is an uncommon disorder and presents with non-specific symptoms. Identifying adrenal insufficiency in patients with chronic kidney disease requiring dialysis is increasingly difficult as there is a significant overlap of the signs and symptoms of adrenal insufficiency with those seen in chronic kidney failure. We highlight this diagnostic uncertainty in a case series of three patients with chronic kidney disease requiring hemodialysis as renal replacement therapy from a single center identified as hypoadrenal. Steroid replacement improved symptoms and hemodynamic parameters. Increased vigilance for adrenal insufficiency in dialysis patients is necessary. It is likely under recognized in hemodialysis patients given their multi-morbidity. � 2024 International Society for Hemodialysis. |
| ISSN: | 14927535 (ISSN) |
| Digital object identifier: | 10.1111/hdi.13131 |
| URI: | https://swslhd.intersearch.com.au/swslhdjspui/handle/1/12557 |
| Appears in Collections: | Liverpool Hospital South Western Sydney Local Health District |
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