Secondary adrenal insufficiency primary prevention: Difference between revisions
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==Primary Prevention== | ==Primary Prevention== | ||
There are no established measures for the primary prevention of secondary adrenal insufficiency. However, following measures can be effective: | There are no established measures for the primary prevention of secondary adrenal insufficiency. However, following measures can be effective: | ||
* Prevention of hypopituitarism by good [[obstetric]] care or minimizing [[radiation]] exposure. | |||
* Avoid the long-term use of opioids.<ref name="pmid10852454">{{cite journal |vauthors=Abs R, Verhelst J, Maeyaert J, Van Buyten JP, Opsomer F, Adriaensen H, Verlooy J, Van Havenbergh T, Smet M, Van Acker K |title=Endocrine consequences of long-term intrathecal administration of opioids |journal=J. Clin. Endocrinol. Metab. |volume=85 |issue=6 |pages=2215–22 |year=2000 |pmid=10852454 |doi=10.1210/jcem.85.6.6615 |url=}}</ref> | |||
* Tapering of steroids as they interfere with the hypothalamic-pituitary axis which can cause secondary adrenal insufficiency.<ref name="pmid27105755">{{cite journal| author=Joseph RM, Hunter AL, Ray DW, Dixon WG| title=Systemic glucocorticoid therapy and adrenal insufficiency in adults: A systematic review. | journal=Semin Arthritis Rheum | year= 2016 | volume= 46 | issue= 1 | pages= 133-41 | pmid=27105755 | doi=10.1016/j.semarthrit.2016.03.001 | pmc=4987145 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27105755 }} </ref> | |||
==References== | ==References== | ||
Revision as of 17:35, 10 October 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
There are no established measures for the primary prevention of [disease name].
OR
There are no available vaccines against [disease name].
OR
Effective measures for the primary prevention of [disease name] include [measure1], [measure2], and [measure3].
OR
[Vaccine name] vaccine is recommended for [patient population] to prevent [disease name]. Other primary prevention strategies include [strategy 1], [strategy 2], and [strategy 3].
Primary Prevention
There are no established measures for the primary prevention of secondary adrenal insufficiency. However, following measures can be effective:
- Prevention of hypopituitarism by good obstetric care or minimizing radiation exposure.
- Avoid the long-term use of opioids.[1]
- Tapering of steroids as they interfere with the hypothalamic-pituitary axis which can cause secondary adrenal insufficiency.[2]
References
- ↑ Abs R, Verhelst J, Maeyaert J, Van Buyten JP, Opsomer F, Adriaensen H, Verlooy J, Van Havenbergh T, Smet M, Van Acker K (2000). "Endocrine consequences of long-term intrathecal administration of opioids". J. Clin. Endocrinol. Metab. 85 (6): 2215–22. doi:10.1210/jcem.85.6.6615. PMID 10852454.
- ↑ Joseph RM, Hunter AL, Ray DW, Dixon WG (2016). "Systemic glucocorticoid therapy and adrenal insufficiency in adults: A systematic review". Semin Arthritis Rheum. 46 (1): 133–41. doi:10.1016/j.semarthrit.2016.03.001. PMC 4987145. PMID 27105755.