Addison’s disease presenting as Hyperkalemia and Acute Renal Failure

A CASE REPORT

  • Juhi Jamwal Department of Endocrinology,SKIMS
  • Mohammad Salem Baba Department of Endocrinology, SKIMS
  • Bashir Ahmad Laway Department of Endocrinology, SKIMS
Keywords: Adrenal insufficiency, hyperkalemia, Adrenal crisis

Abstract

Primary adrenal insufficiency is a rare disease with overlapping ill defined symptoms which makes it difficult to identify and hence most of the patients presents with adrenal crisis. These patients commonly present with easy fatigability, decreased appetite, lethargy and increasing pigmentation of skin especially old scars and sun exposed areas.

Aim of presenting this case is to sensitize the physicians about this rare but fatal disorder in which early diagnosis can avoid mortality and also improve quality of life of the patients.

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Author Biographies

Juhi Jamwal, Department of Endocrinology,SKIMS

Senior Resident

Mohammad Salem Baba, Department of Endocrinology, SKIMS

Senior Resident

Bashir Ahmad Laway, Department of Endocrinology, SKIMS

Prof & Head

References

1. Husebye ES, Pearce SH, Krone NP, Kämpe O. Adrenal insufficiency. Lancet. 2021 Feb 13;397(10274):613-629.
2. C. Fofi, B. Maresca, S. Altieri, P. Menè, and F. Festuccia, “Renal involvement in adrenal insufficiency (Addison disease): can we always recognize it?” Internal and Emergency Medicine, vol. 15, no. 1, pp. 23–31, 2020.

3. Hahner S, Loeffler M, Bleicken B, Drechsler C, Milovanovic D, Fassnach M, et al. Epidemiology of adrenal crisis in chronic adrenal insufficiency the need for new prevention strategies. Eur J Endocrinol.2010;162(3):597–602.

4. DeFronzo RA. Hyperkalemia and hyporeninemic hypoaldosteronism. Kidney Int. 1980;17(1):118–34.

5. Saevik B, Akerman AK, Gronning K, Nermoen I, Valland SF, Finnes TE, et al. Clues for early detection of autoimmune Addison’s disease—myths and realities. J Intern Med. 2018;283 (2):190–9.
Published
2023-07-04
How to Cite
1.
Jamwal J, Baba M, Laway BA. Addison’s disease presenting as Hyperkalemia and Acute Renal Failure. jms [Internet]. 2023Jul.4 [cited 2026Oct.2];26(2):41-3. Available from: https://www.jmsskims.org/index.php/jms/article/view/1289
Section
Case Reports

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