Primary adrenal insufficiency

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 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.

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.

Primary adrenal insufficiency complications Complications

The cardiovascular system can also be affected and shock can occur.

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.

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 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.

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