Addison's disease causes: Difference between revisions
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{{Addison's disease}} | {{Addison's disease}} | ||
{{CMG}} | {{CMG}} ; {{AE}} {{ADG}} | ||
==Overview== | ==Overview== | ||
Common causes of Addison's disease include [[autoimmune]], [[tuberculosis]], [[AIDS]], [[CMV]], [[hemorrhage]], [[infarction]], [[sarcoidosis]] and [[infections]]. | |||
== Causes <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:14-15</ref> | ==Causes== | ||
===Life-threatening Causes=== | |||
Life-threatening causes of Addison's disease include: | |||
*[[AIDS]] complications | |||
*[[Adrenal]] infarction | |||
*[[Adrenal hemorrhage|Bilateral adrenal hemorrhage]](caused by [[trauma]], [[anticoagulant therapy]], or [[coagulation disorders]]).<ref name="pmid12704285">{{cite journal |vauthors=LaBan MM, Whitmore CE, Taylor RS |title=Bilateral adrenal hemorrhage after anticoagulation prophylaxis for bilateral knee arthroplasty |journal=Am J Phys Med Rehabil |volume=82 |issue=5 |pages=418–20 |year=2003 |pmid=12704285 |doi=10.1097/01.PHM.0000064741.97586.E4 |url=}}</ref> | |||
*Cancerous destruction of the [[adrenal gland]], secondary to infiltrative or [[metastatic disease]]. | |||
*[[Tuberculosis|Tubercular]] and [[fungal]] destruction of [[adrenal glands]]. | |||
===Common Causes=== | |||
Common causes of Addison's disease include:<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:14-15</ref> | |||
* [[Autoimmune]]/[[Idiopathic]] | |||
* [[Tuberculosis]] | |||
* [[AIDS]] | |||
* [[CMV]] | |||
* [[Hemorrhage]] | |||
* [[Infarction]] | |||
* [[Sarcoidosis]] | |||
* [[Infections]] | |||
=== | ===Less common causes=== | ||
Less common causes of Addison's disease include: | |||
*[[Sarcoidosis]] | *[[Sarcoidosis]] | ||
*[[ | *[[Amyloidosis]] | ||
*[[ | *[[Fungal infections]] | ||
*[[AIDS]] complications | |||
*[[Hemochromatosis]] | |||
*[[Autoimmune polyendocrine syndrome|Polyglandular autoimmune syndromes]] | |||
*[[Adrenoleukodystrophy]] | |||
*Adrenomyelodystrophy | |||
*Congenital factors, including [[hypoplasia]], familial [[glucocorticoid]] insufficiency, and enzyme defect | |||
===Causes by Organ System=== | |||
{| style="width:80%; height:100px" border="1" | |||
| style="width:25%" bgcolor="lightsteelblue" ; border="1" | '''Cardiovascular''' | |||
| style="width:75%" bgcolor="beige" ; border="1" | [[Arteritis]], [[Hypotension]], [[Hemorrhage]], [[Infarction]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Chemical / poisoning''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Dermatologic''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Drug Side Effect''' | |||
| bgcolor="beige" | [[Corticosteroid withdrawal]], [[Pasireotide]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Ear Nose Throat''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Endocrine''' | |||
| bgcolor="beige" | [[Adrenal aplasia]] / [[hypoplasia]], [[Adrenal metastases]], After surgery of [[cortisol-secreting tumor]], [[Bilateral adrenalectomy ]] , [[Congenital adrenal hyperplasia]], [[Glucocorticoid deficiency 1]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Environmental''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Gastroenterologic''' | |||
| bgcolor="beige" | [[Hemochromatosis ]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Genetic''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Hematologic''' | |||
| bgcolor="beige" | [[Anticoagulation]], [[Coagulopathy ]] , [[Embolus]], [[Leukemia]], [[Lymphoma ]] , [[Thrombosis]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Iatrogenic''' | |||
| bgcolor="beige" | [[Iatrogenic]], [[Radiation therapy]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Infectious Disease''' | |||
| bgcolor="beige" | [[AIDS]], [[Blastomycosis]], [[CMV]], [[Coccidiomycosis]], [[Cryptococcosis]], [[Histoplasmosis ]] , [[Mycobacterium avium intracellulaire]] ([[MAI]]), [[Sepsis]], [[Syphilis]], [[Toxoplasmosis]], [[Tuberculosis]], [[Waterhouse-Friderichson syndrome ]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Musculoskeletal / Ortho''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Neurologic''' | |||
| bgcolor="beige" | [[Adrenoleukodystrophy]], [[Coma]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Nutritional / Metabolic''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Obstetric/Gynecologic''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Oncologic''' | |||
| bgcolor="beige" | [[Kaposi's sarcoma]], [[Leukemia]], [[Lymphoma ]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Opthalmologic''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Overdose / Toxicity''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Psychiatric''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Pulmonary''' | |||
| bgcolor="beige" | [[Sarcoidosis]], | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Renal / Electrolyte''' | |||
| bgcolor="beige" | [[Uremia]], [[Waterhouse-Friderichson syndrome ]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Rheum / Immune / Allergy''' | |||
| bgcolor="beige" | [[Autoimmune]], [[Sarcoidosis]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Sexual''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Trauma''' | |||
| bgcolor="beige" | [[Trauma]] | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Urologic''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Dental''' | |||
| bgcolor="beige" | No underlying causes | |||
|- | |||
|- bgcolor="lightsteelblue" | |||
| '''Miscellaneous''' | |||
| bgcolor="beige" | [[Amyloidosis]], [[Idiopathic]], [[Iatrogenic]], [[Radiation therapy]], [[Surgery]] | |||
|- | |||
|} | |||
===Causes in Alphabetical Order=== | ===Causes in Alphabetical Order=== | ||
*[[Adrenal aplasia]] / [[hypoplasia]] | |||
*[[Adrenal aplasia]] / hypoplasia | |||
*[[Adrenal metastases]] | *[[Adrenal metastases]] | ||
*[[Adrenoleukodystrophy]] | |||
*[[AIDS]] | *[[AIDS]] | ||
*[[Amyloidosis]] | *[[Amyloidosis]] | ||
Line 36: | Line 169: | ||
*[[Cryptococcosis]] | *[[Cryptococcosis]] | ||
*[[Coma]] | *[[Coma]] | ||
*[[ | *[[Corticosteroid]] withdrawal | ||
*[[Drugs ]] | *[[Drugs ]] | ||
*[[Embolus]] | *[[Embolus]] | ||
*[[Glucocorticoid deficiency 1]] | *[[Glucocorticoid deficiency 1]] | ||
*[[Hemochromatosis ]] | *[[Hemochromatosis ]] | ||
*[[Histoplasmosis ]] | *[[Histoplasmosis ]] | ||
*[[Hypotension]] | *[[Hypotension]] | ||
*[[Hemorrhage]], [[infarction]] | *[[Hemorrhage]], [[infarction]] | ||
*[[Iatrogenic]] | *[[Iatrogenic]] | ||
*[[Kaposi's sarcoma]] | *[[Kaposi's sarcoma]] | ||
*[[Leukemia]] | *[[Leukemia]] | ||
Line 65: | Line 195: | ||
*[[Uremia]] | *[[Uremia]] | ||
*[[Waterhouse-Friderichson syndrome ]] | *[[Waterhouse-Friderichson syndrome ]] | ||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
[[Category:Endocrinology]] | |||
[[Category:Disease]] | |||
[[Category:Medical emergencies]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Intensive care medicine]] | |||
[[Category:Needs overview]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Latest revision as of 16:38, 11 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Common causes of Addison's disease include autoimmune, tuberculosis, AIDS, CMV, hemorrhage, infarction, sarcoidosis and infections.
Causes
Life-threatening Causes
Life-threatening causes of Addison's disease include:
- AIDS complications
- Adrenal infarction
- Bilateral adrenal hemorrhage(caused by trauma, anticoagulant therapy, or coagulation disorders).[1]
- Cancerous destruction of the adrenal gland, secondary to infiltrative or metastatic disease.
- Tubercular and fungal destruction of adrenal glands.
Common Causes
Common causes of Addison's disease include:[2]
Less common causes
Less common causes of Addison's disease include:
- Sarcoidosis
- Amyloidosis
- Fungal infections
- AIDS complications
- Hemochromatosis
- Polyglandular autoimmune syndromes
- Adrenoleukodystrophy
- Adrenomyelodystrophy
- Congenital factors, including hypoplasia, familial glucocorticoid insufficiency, and enzyme defect
Causes by Organ System
Cardiovascular | Arteritis, Hypotension, Hemorrhage, Infarction |
Chemical / poisoning | No underlying causes |
Dermatologic | No underlying causes |
Drug Side Effect | Corticosteroid withdrawal, Pasireotide |
Ear Nose Throat | No underlying causes |
Endocrine | Adrenal aplasia / hypoplasia, Adrenal metastases, After surgery of cortisol-secreting tumor, Bilateral adrenalectomy , Congenital adrenal hyperplasia, Glucocorticoid deficiency 1 |
Environmental | No underlying causes |
Gastroenterologic | Hemochromatosis |
Genetic | No underlying causes |
Hematologic | Anticoagulation, Coagulopathy , Embolus, Leukemia, Lymphoma , Thrombosis |
Iatrogenic | Iatrogenic, Radiation therapy |
Infectious Disease | AIDS, Blastomycosis, CMV, Coccidiomycosis, Cryptococcosis, Histoplasmosis , Mycobacterium avium intracellulaire (MAI), Sepsis, Syphilis, Toxoplasmosis, Tuberculosis, Waterhouse-Friderichson syndrome |
Musculoskeletal / Ortho | No underlying causes |
Neurologic | Adrenoleukodystrophy, Coma |
Nutritional / Metabolic | No underlying causes |
Obstetric/Gynecologic | No underlying causes |
Oncologic | Kaposi's sarcoma, Leukemia, Lymphoma |
Opthalmologic | No underlying causes |
Overdose / Toxicity | No underlying causes |
Psychiatric | No underlying causes |
Pulmonary | Sarcoidosis, |
Renal / Electrolyte | Uremia, Waterhouse-Friderichson syndrome |
Rheum / Immune / Allergy | Autoimmune, Sarcoidosis |
Sexual | No underlying causes |
Trauma | Trauma |
Urologic | No underlying causes |
Dental | No underlying causes |
Miscellaneous | Amyloidosis, Idiopathic, Iatrogenic, Radiation therapy, Surgery |
Causes in Alphabetical Order
- Adrenal aplasia / hypoplasia
- Adrenal metastases
- Adrenoleukodystrophy
- AIDS
- Amyloidosis
- Anticoagulation
- Arteritis
- After surgery of cortisol-secreting tumor
- Autoimmune/idiopathic
- Bilateral adrenalectomy
- Blastomycosis
- CMV
- Coagulopathy
- Coccidiomycosis
- Congenital adrenal hyperplasia
- Cryptococcosis
- Coma
- Corticosteroid withdrawal
- Drugs
- Embolus
- Glucocorticoid deficiency 1
- Hemochromatosis
- Histoplasmosis
- Hypotension
- Hemorrhage, infarction
- Iatrogenic
- Kaposi's sarcoma
- Leukemia
- Lymphoma
- Mycobacterium avium intracellulaire (MAI)
- Neonatal
- Neoplasm
- Radiation therapy
- Sarcoidosis
- Sepsis
- Surgery
- Syphilis
- Thrombosis
- Toxoplasmosis
- Trauma
- Tuberculosis (20% of all Addison's)
- Uremia
- Waterhouse-Friderichson syndrome
References
- ↑ LaBan MM, Whitmore CE, Taylor RS (2003). "Bilateral adrenal hemorrhage after anticoagulation prophylaxis for bilateral knee arthroplasty". Am J Phys Med Rehabil. 82 (5): 418–20. doi:10.1097/01.PHM.0000064741.97586.E4. PMID 12704285.
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:14-15