Coşkun ARMAĞAN, Ahu PAKETÇİ, Sezer ACAR, Yağmur Damla AKÇURA, İbrahim Mert ERBAŞ, Ayhan ABACI, Ece BÖBER, Korcan DEMİR

Çocuk ve Adolesanlarda Halsizlik ve Kilo Kaybı Durumunda Akla Gelmesi Gereken Bir Hastalık: Adrenal Yetmezlik

Adrenal yetmezlik olguları, hayatı tehdit eden şok ile karakterize adrenal kriz tablosu ile karşımıza çıkabileceği gibi özgün olmayan belirtilerle de başvurabilir. Hastaların, mortalite ve morbiditesi yüksek olan adrenal kriz tablosu öncesinde tanınıp tedavi edilmesi hayati öneme sahiptir. Bu makale ile Hashimoto tiroditi nedeniyle izlemde iken aşırı kilo kaybı, halsizlik, cilt renginde koyulaşma bulguları gelişen ve Addison Hastalığı tanısı alan 16 yaşındaki kız olgu üzerinden çocukluk yaş grubunda adrenal yetmezlik tablosunun vurgulanması amaçlanmıştır.

Anahtar Kelimeler:

Hipotiroidi, Hashimoto tiroiditi, Hiponatremi, Otoimmun tiroidit, 21-hidroksilaz otoantikoru, OPS Tip 2

A Disease That Should Be Considered in Case of Fatigue and Weight Loss in Children and Adolescents: Adrenal Insufficiency

Adrenal insufficiency cases may either present with adrenal crisis (characterized by life-threatening hypotension, shock) or nonspecific symptoms. It is vital to diagnose and treat patients before adrenal crisis, which is associated with high mortality and morbidity. With this report, it is aimed to emphasize adrenal insufficiency in the childhood age group via description of a 16-year-old girl who developed symptoms of excessive weight loss, skin darkening and weakness while being followed-up due to Hashimoto's thyroiditis and was eventually diagnosed with Addison's disease.

Keywords:

Hypothyroidism, Hashimoto’s Thyroiditis, Hyponatremia, 21-hydroxylase autoantibody, APS Type 2,

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