Addison's disease is a rare disorder of the adrenal glands. With Addison's, the adrenal glands do not produce enough of the hormones cortisol and aldosterone.
Addison's occurs because of damage to the cortex.
Copyright © Nucleus Medical Media, Inc.
Factors that increase your chance of getting Addison's disease include:
Having the following autoimmune diseases:
Type I diabetes
hypothyroidismMyasthenia gravisStressAnticoagulant medicationsAbdominal injuryFamily members with autoimmune-caused Addison's disease
Long-term steroid medication treatment, followed by:
Severe stressInfectionSurgeryTraumaPrevious surgery on adrenal glandsHereditary disorders, such as Prader-Willi syndrome and congenital adrenal hyperplasia
Symptoms may include: Extreme weakness, fatigueWeight lossNausea or vomiting
or painDarkening of freckles, nipples, scars, skin creases, gums, mouth, nail beds, and vaginal lining
Emotional changes, especially
depressionCognitive impairment or confusionCraving salty foodsAbdominal painAnorexiaAmenorrhea
A severe complication of Addison's disease is the Addisonian or
. Adrenal crisis is a life threatening disorder, its symptoms include:
High or low body temperatureSevere abdominal, back, or leg painFaintingSevere dehydrationSevere nausea, vomiting, and diarrheaBluish skin colorMuscle weakness
You will be asked about your symptoms and medical history. A physical exam will be done.
Your bodily fluids may be tested. This can be done with: Blood testsUrine testsACTH stimulation test
Your doctor may also need images of your bodily structures.
This can be done with: MRI scanCT scan
Symptoms of Addison's disease can be controlled with medications. These drugs replace the missing hormones. Medication needs to be taken for the rest of your life. They may need to be increased during times of stress.
Immediate treatment of adrenal crisis includes: Self-injection of dexamethasoneHydrocortisone by IVNormal saline by IV
Surgery may also be needed for adrenal tumors or pituitary tumors causing the disease.
Regular blood tests are needed to monitor your response to medication. Wear a medical alert bracelet that states adrenal insufficiency or Addison's disease. This will let others know of your condition if you are unable to communicate.
There are no guidelines for preventing Addison's disease. If you think you are at risk, talk to your doctor.
Adrenal insufficiency and Addison's disease. National Endocrine and Metabolic Diseases Information Service website. Available at:
http://endocrine.niddk.nih.gov/pubs/addison/addison.aspx. Updated May 14, 2014. Accessed June 4, 2014.
Adrenal insufficiency in adults. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated December 16, 2013. Accessed June 4, 2014.
Arlt W, Allolio B. Adrenal insufficiency.
Dorin RI, Qualls CR, Crapo LM. Diagnosis of adrenal insufficiency.
Ann Int Med. 2003;138:3:194-214.
Hahner S, Allolio B. Therapeutic management of adrenal insufficiency.
Best Pract Res Clin Endocrinol Metab. 2009;23(2):167-79.
Salvatori R. Adrenal insufficiency.
Ten S, New M, Maclaren N. Clinical Review 130: Addison's disease.
J Clin Endo Metabol. 2001;86:2909-2922.
Thomas Z, Fraser GL. An update on the diagnosis of adrenal insufficiency and the use of corticotherapy in critical illness.
Ann Pharmather. 2007;41:1456-65.
Wallace I, Cunningham S, Lindsay J. The diagnosis and investigation of adrenal insufficiency in adults.
Ann Clin Biochem. 2009;46(Pt 5):351-367.
Last reviewed May 2014 by Kim Carmichael, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
Copyright © EBSCO Publishing. All rights reserved.