Clinical Case Database / Category: Patient Management
Beware of Addison's Disease
Publication details
Dr Joseph Freer, Dr Adele Cowper
Foundation Years Journal, volume 8, issue 8, p.10 (123Doc Education, London, September 2014)
Abstract
We describe a girl with known Type 1 Diabetes Mellitus who had multiple presentations to the paediatric department before that "unforgiving master of non-specificity and disguise" (1), Addison's disease, was identified. The diagnosis was delayed and we present this case to highlight the difficulties in diagnosing Addison's disease in the context of commoner comorbidities.
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Authors
Dr Joseph Freer (Corresponding author)
FY1 Doctor
Newham University Hospital
Glenn Road, London, E13 8SL
josephbfreer@gmail.com
Dr Adele Cowper
SpR Paediatrics
Newham University Hospital
Glenn Road, London, E13 8SL
adele.cowper@bartshealth.nhs.uk
References
1. Brosnan C., Gowing N. Addison's disease. BMJ 1996 Apr 27;312(7038):1085-7
3. Nieman, L. Causes of primary adrenal insufficiency. In: UpToDate, Basow, DS (Ed). UpToDate, Waltham, MA, 2013. 4. Stewart P., Krone N. The Adrenal Cortex. In: Williams Textbook of Endocrinology 12th ed. Philadelphia, PA: Saunders Elsevier; 2011: chap 15.
10. Longmore, M. et al Oxford Handbook of Clinical Medicine, 8th ed. Oxford, 2012: chap 5 11. Illustrated Textbook of Paediatrics, 3rd ed. Elselvier; 2001; p 395
16. Barker J et al. Autoantibody "subspecificity" in Type 1 Diabetes. Diabetes Care Apr 2005; 28:850-855
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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