primary adrenal insufficiency
Introduction
Introduction to primary adrenal insufficiency Primary adrenal insufficiency (primary adrenal insufficiency), also known as Addison's disease, Addison's disease, Chinese medicine belongs to the category of black-black dry black, is a systemic disease caused by low adrenal function. It is characterized by low blood pressure, general malaise, and pigmentation of the skin and mucous membranes. basic knowledge The proportion of the disease: the probability of the population is 0.18% Susceptible people: no special people Mode of infection: non-infectious Complications: shock
Cause
Cause of primary adrenal insufficiency
(1) Causes of the disease
Adrenal insufficiency or hypothyroidism without cause.
(two) pathogenesis
Due to insufficient production of hydrocortisone, the pituitary-reactive release of melanocyte stimulating hormone (MSH) and adrenocorticotropic hormone (ACTH) increases, causing melanosis.
Prevention
Primary adrenal insufficiency prevention Diet should pay attention to light, mostly with food porridge, noodle soup and other foods that are easy to digest and absorb.
Complication
Primary adrenal insufficiency complications Complications
The cardiovascular system can also be affected and shock can occur.
Symptom
Symptoms of primary adrenal insufficiency Common symptoms halophilic constipation hypotension nausea abdominal pain skin pigmentation deep stun shock
The disease is mostly local pigmentation, grayish brown or dark brown, and can also be seen in a wide range of diffuse pigmentation, with limbs flexing, axilla, genitals, around the nipple, lower part of the breast, also visible in the face, neck and other exposures. The area, oral mucosa and lips can also be affected, the skin is loose and thin, like pediatric skin, systemic symptoms, fatigue, hypotension, weight loss, gastrointestinal dysfunction, loss of appetite, nausea and vomiting, constipation, occasional diarrhea, abdominal pain, The cardiovascular system can also be affected, with orthostatic hypotension, hypoglycemia, dizziness, fainting, and shock.
Examine
Examination of primary adrenal insufficiency
There are hyponatremia, low blood chlorine and hyperkalemia, low fasting blood glucose, decreased 17-keto, 17-hydroxy alcohol and aldosterone, and abnormal ACTH test and water test.
Diagnosis
Diagnosis and diagnosis of primary adrenal insufficiency
According to clinical manifestations, the characteristics of skin lesions and the characteristics of laboratory tests can be diagnosed.
Generally not confused with other diseases.
