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Insuffisance corticosurrénalienne précipitée par un traitement de lévothyroxine [Adrenal insufficiency caused by treatment with levothyroxine]

By L. Rey, C. Bulliard, F. Pralong and G. Waeber


Primary adrenal insufficiency is a rare disease. Its diagnosis remains a clinical challenge since the signs and symptoms of the disease are insidious in onset and non specific in nature. A case report of Addison's crisis induced by levothyroxine substitution therapy is described. This clinical case is discussed in details with a special emphasis to the published literature regarding the strategy of diagnosis and the specific therapy of primary adrenal insufficiency

Topics: Addison Disease; Adult; Diagnosis, Differential; Dose-Response Relationship, Drug; Female; Fludrocortisone; Humans; Hydrocortisone; Hypothyroidism; Thyroiditis, Autoimmune; Thyroxine
Year: 2001
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