Title of article :
Problems in Diagnosis of Addison’s Disease and its Misdiagnosis as Chronic Kidney Disease (CKD): A Case Report
Author/Authors :
Sabaghian ، Tahereh Imam Hosein Medical center, Chronic Kidney Disease Research Center - Shahid Beheshti University of Medical Sciences , Heidari Almasi ، Minoo Imam Hosein Medical center - Shahid Beheshti University of Medical Sciences
Abstract :
Introduction: Chronic kidney disease (CKD) rarely occurs at the same time as endocrine diseases such as adrenal failure. There are some reports of cases with acute kidney failure accompanied by Addison’s disease and adrenal crisis. The studied case was a patient with Addison’s disease referring with manifestations of AKI on CKD and hyperkalemia without hypotension. Case Presentation: This report describes a 34-year-old man with the primary diagnosis of CKD and the subsequent diagnosis of Addison’s disease. Conclusions: Since renal failure is accompanied by hyperkalemia, the diagnosis of adrenal failure will be difficult in the case of no obvious hyponatremia and hypotension. Thus, it is necessary to carefully check the clinical and laboratory symptoms and high clinical suspicions in CKD patients.
Keywords :
Adrenal Insufficiency , Renal Failure , Hyperkalemia
Journal title :
Nephro- Urology Monthly
Journal title :
Nephro- Urology Monthly