Endocrinology Book

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Addison's Disease

Aka: Addison's Disease, Addisonian Crisis, Adrenal Cortical Insufficiency, Adrenal Insufficiency, Adrenal Hypofunction, Illness Induced Adrenal Insufficiency, Stress Dose Steroid
  1. See Also
    1. Autoimmune Polyglandular Syndrome
  2. Pathophysiology
    1. Hypothalamic-Pituitary-Adrenal Axis (HPA) Dysfunction
      1. Lab features: Cortisol low, ACTH Low
      2. Causes
        1. Severe illness
        2. Exogenous Corticosteroid (suppression lasts months)
          1. Prednisone >7.5 mg/day for >3 weeks
          2. Dexamethasone >0.75 mg/day for >3 weeks
        3. Pituitary Infarction
        4. CNS Infection or tumor invasion
        5. Head Injury
        6. HIV Infection
    2. Adrenal Insufficiency
      1. Lab features: Cortisol low, ACTH high
      2. Causes
        1. Addison's Disease
          1. Primary adrenal failure of Adrenal Glands
        2. Idiopathic adrenal hypoplasia or destruction
          1. Granulomatous disease (e.g. Tuberculosis, Fungus)
          2. Amyloidosis
          3. Hemochromatosis
          4. Tumor
          5. Autoimmune process
        3. Medication medicated cortisol inhibition
          1. Etomidate
          2. Ketoconazole
  3. Symptoms
    1. Weakness
    2. Fatigue or Lethargy
    3. Nausea or Vomiting
    4. Diarrhea
    5. Abdominal Pain
    6. Weight loss
    7. Salt craving
    8. Altered Level of Consciousness (e.g. Delirium)
  4. Signs
    1. Fever
    2. Hyperpigmentation
      1. Skin with mottled areas of increased pigmentation
      2. Pigment at Buccal mucosa (Caucasian)
      3. Increased pigment in lips, vagina, rectum
    3. Reduced Hair Growth
    4. Postural Hypotension
    5. Signs of dehydration
  5. Labs
    1. Complete Blood Count
      1. Normochromic Normocytic Anemia
      2. Eosinophilia (helps differentiate from other causes)
    2. Chemistry Panel
      1. Hyponatremia
      2. Hypochloremia
      3. Hyperkalemia
      4. Hypoglycemia (helps differentiate from other causes)
    3. Urine 17-ketosteroids low
    4. Urine 17-Hydroxysteroids low
  6. Diagnosis
    1. Corticotropin Stimulation Test
      1. Failed adrenal response
  7. Management
    1. Acute
      1. IV Cortisol
    2. Chronic Replacement
      1. Hydrocortisone (glucocorticoid) AND
      2. Mineralocorticoid (9-alpha-fluorocortisol)
    3. Stress Dose Steroid
      1. Indication: Acute severe illness
        1. Serum Cortisol <15 to 34 mcg/dl
        2. Cortisol <9 after Corticotropin Stimulation Test
      2. Management
        1. Hydrocortisone 50 mg IV or IM q6 hours
        2. Consider adding fludricortisone 50 mcg qd
  8. Resources
    1. Addison and Cushing International Federation (ACIF)
      1. http://www.nvacp.nl/page.php?main=5
  9. References
    1. Cooper (2003) N Engl J Med 348:727-34

Addison Disease (C0001403)

Definition (NCI) A hormonal disorder that occurs when the adrenal glands fail to release adequate amounts of glucocorticoids (cortisol), mineralocorticoids (aldosterone, 11-deoxycorticosterone), and androgens (dehydroepiandrosterone) to meet physiologic needs, despite release of ACTH from the pituitary.
Definition (MEDLINEPLUS)

Your adrenal glands are just above your kidneys. The outside layer of these glands makes hormones that help your body respond to stress and regulate your blood pressure and water and salt balance. Addison's disease occurs if the adrenal glands don't make enough of these hormones.

A problem with your immune system usually causes Addison's disease. The immune system mistakenly attacks your own tissues, damaging your adrenal glands.

Symptoms include

  • Weight loss
  • Muscle weakness
  • Fatigue that gets worse over time
  • Low blood pressure
  • Patchy or dark skin

Lab tests can confirm that you have Addison's disease. If you don't treat it, it can be fatal. You will need to take hormone pills for the rest of your life. If you have Addison's disease, you should carry an emergency ID. It should say that you have the disease, list your medicines and say how much you need in an emergency.
Definition (MSH) An adrenal disease characterized by the progressive destruction of the ADRENAL CORTEX, resulting in insufficient production of ALDOSTERONE and HYDROCORTISONE. Clinical symptoms include ANOREXIA; NAUSEA; WEIGHT LOSS; MUSCLE WEAKNESS; and HYPERPIGMENTATION of the SKIN due to increase in circulating levels of ACTH precursor hormone which stimulates MELANOCYTES.
Definition (CSP) disease characterized by hypotension, weight loss, anorexia, weakness, and sometimes a bronze-like melanotic hyperpigmentation of the skin; due to tuberculosis or autoimmune induced disease (hypofunction) of the adrenal glands that results in deficiency of aldosterone and cortisol.
Concepts Disease or Syndrome (T047)
MSH D000224
ICD10 E27.1
SnomedCT 111562000, 367376006, 363732003, 373662000, 154707007, 267483004, 68588005
English Disease, Addison, ADDISON DISEASE, ADDISON'S DISEASE, ADRENAL INSUFFICIENCY (ADDISON'S DISEASE), ADRENOCORTICAL INSUFFICIENCY, PRIMARY FAILURE, DISEASE ADDISON'S, Addison's disease, NOS, Primary adrenal deficiency, Primary adrenocortical insuff, Disease Addison's, Adrenal insufficiency (Addison disease), ADDISONS DIS, ADDISON DIS, Chronic Adrenal Insufficiency, Hypocortisolism, Addison's disease NOS, primary adrenal insufficiency, primary adrenal insufficiency (diagnosis), Addison's disease, NOS (disorder), Addison Disease, Addison disease, Addison Disease [Disease/Finding], Disease;Addisons, addison disease, addison's disease, Primary adrenal insufficiency, Addison's disease, Primary adrenocortical insufficiency, Primary hypoadrenalism, Addison's disease (disorder), Primary adrenocortical insufficiency (disorder), corticoadrenal; deficiency, primary, deficiency; adrenocortical, primary, deficiency; corticoadrenal, primary, disease (or disorder); bronzed skin (Addison) (bronze disease), hypoadrenocorticism; primary, insufficiency; adrenal, primary, insufficiency; suprarenal, primary, adrenal cortex; deficiency, primary, adrenal cortex; hypofunction, primary, adrenal; insufficiency, primary, primary; hypoadrenocorticism, Addison; disease or syndrome, suprarenal; insufficiency, primary, syndrome; Addison, Addison's disease [Ambiguous], Addison's Disease, Hypoadrenalism, Primary, Hypoadrenalisms, Primary, Insufficiencies, Primary Adrenocortical, Insufficiency, Primary Adrenocortical, Primary Adrenal Insufficiency, Primary Adrenocortical Insufficiencies, Primary Adrenocortical Insufficiency, Primary Hypoadrenalism, Adrenal Insufficiency, Primary, Adrenocortical Insufficiencies, Primary, Adrenocortical Insufficiency, Primary, Addisons Disease, Addisons disease
Portuguese DOENCA DE ADDISON, Hipadrenalismo primário, Insuficiência suprarrenal primária, Doença de Addison
Italian Insufficienza surrenale primitiva, Malattia di Addison, Iposurrenalismo primitivo, Insufficienza corticosurrenale cronica, Insufficienza adrenocorticale primaria, Ipoadrenalismo primario, Morbo di Addison
Dutch primair hypoadrenalisme, ziekte van Addison, Addison; ziekte of syndroom, aandoening; bronzed skin (Addison) (bronsziekte), bijnier; insufficiëntie, primair, bijnierschors; deficiëntie, primair, bijnierschors; hypofunctie, primair, cortico-adrenaal; deficiëntie, primair, deficiëntie; bijnierschors, primair, deficiëntie; cortico-adrenaal, primair, hypoadrenocorticisme; primair, insufficiëntie; bijnier, primair, insufficiëntie; suprarenaal, primair, primair; hypoadrenocorticisme, suprarenaal; insufficiëntie, primair, syndroom; Addison, primaire bijnierinsufficiëntie, Addison, syndroom van, Addison, ziekte van, Ziekte van Addison, Primaire bijnierschorsinsufficiëntie
French Hyposurrénalisme, MALADIE D'ADDISON, Insuffisance surrénalienne primaire, Insuffisance corticosurrénalienne primitive, Insuffisance surrénalienne primitive, Maladie d'Addison, Insuffisance surrénale lente, Insuffisance surrénale primitive
German Krankheit Addisonsche, Addisonsche Krankheit, primaerer Hypoadrenalismus, MORBUS ADDISON, Primaere Nebennierenrindeninsuffizienz, primaere Nebenniereninsuffizienz, Addison-Krankheit, Bronzehautkrankheit, Nebenniereninsuffizienz, primär chronische
Spanish Hipoadrenalismo primario, Addison's disease, Addison's disease, NOS, ADDISON, ENFERMEDAD, enfermedad de Addison (concepto no activo), enfermedad de Addison (trastorno), enfermedad de Addison, insuficiencia adrenal crónica, insuficiencia adrenal primaria, insuficiencia adrenocortical primaria, insuficiencia corticosuprarrenal primaria (trastorno), insuficiencia corticosuprarrenal primaria, insuficiencia suprarrenal crónica, insuficiencia suprarrenal primaria, Insuficiencia suprarrenal primaria, Enfermedad de Addison
Japanese 原発性副腎機能不全, 原発性副腎機能低下症, ｹﾞﾝﾊﾟﾂｾｲﾌｸｼﾞﾝｷﾉｳﾌｾﾞﾝ, ｱｼﾞｿﾝﾋﾞｮｳ, ｹﾞﾝﾊﾟﾂｾｲﾌｸｼﾞﾝｷﾉｳﾃｲｶｼｮｳ, Addison病, アジソン病, 副腎性黒皮症, 副腎機能不全症-原発性, 原発性副腎機能不全症, 原発性副腎皮質機能低下症, 慢性副腎皮質不全症, アディソン病, 副腎皮質機能低下症-原発性
Swedish Addisons sjukdom
Czech Addisonova nemoc, Primární hypoadrenalismus, Primární nadledvinová nedostatečnost, Addisonova choroba
Finnish Addisonin tauti
Russian ADDISONOVA BOLEZN', BRONZOVAIA BOLEZN', АДДИСОНОВА БОЛЕЗНЬ, БРОНЗОВАЯ БОЛЕЗНЬ
Korean 원발성 부신피질 기능부전
Croatian ADDISONOVA BOLEST
Polish Choroba Addisona, Pierwotna przewlekła niedoczynność kory nadnerczy, Cisawica
Hungarian Addison-kór, Addison-betegség, Primaer mellékvese elégtelenség, Primaer hypadrenia
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Adrenal gland hypofunction (C0001623)

Definition (NCI) An endocrine or hormonal disorder that occurs when the adrenal cortex does not produce enough of the hormone cortisol and in some cases, the hormone aldosterone. It may be due to a disorder of the adrenal cortex (Addison's disease or primary adrenal insufficiency) or to inadequate secretion of ACTH by the pituitary gland (secondary adrenal insufficiency).
Definition (NCI) A disorder that occurs when the adrenal cortex does not produce enough of the hormone cortisol and in some cases, the hormone aldosterone. It may be due to a disorder of the adrenal cortex as in Addison's disease or primary adrenal insufficiency.
Definition (MSH) Conditions in which the production of adrenal CORTICOSTEROIDS falls below the requirement of the body. Adrenal insufficiency can be caused by defects in the ADRENAL GLANDS, the PITUITARY GLAND, or the HYPOTHALAMUS.
Definition (CSP) abnormally diminished activity of the adrenal gland.
Concepts Disease or Syndrome (T047)
MSH D000309
SnomedCT 237785004, 111563005, 386584007, 68588005, 190527008
English ADRENAL INSUFFICIENCY, HYPOADRENALISM, ADRENAL HYPOFUNCTION, HYPOFUNCTION ADRENAL, Hypofunction, Adrenal Gland, hypoadrenalism, Adrenal insufficiency, NOS, INSUFFICIENCY ADRENAL, adrenal insufficiency, adrenal insufficiency (diagnosis), Adrenal gland hypofunction, Hypofunction adrenal, Adrenal insufficiency NOS, Insufficiency adrenal, Adrenal Cortical Insufficiency, Adrenal Insufficiency [Disease/Finding], Insufficiency;adrenal, adrenal failure, adrenal hypofunctions, adrenal insufficiencies, insufficiency adrenal, adrenal hypofunction, Adrenal failure, Adrenal hypofunction, Adrenal insufficiency, Adrenal hypofunction (disorder), Hypoadrenalism (disorder), Adrenal Gland Hypofunction, Hypoadrenalism, Adrenal Insufficiencies, Adrenal Insufficiency, Adrenal Gland Insufficiency
French INSUFFISANCE SURRENALE, Hypofonction surrénalienne, Hypofonction surrénale, Insuffisance surrénalienne SAI, HYPOFONCTIONNEMENT SURRENAL, HYPOSURRENALISME, Insuffisance surrénale, Hypofonctionnement de la glande surrénale, Hypofonctionnement surrénalien, Insuffisance surrénalienne
German NEBENNIERENUNTERFUNKTION, Nebenniereninsuffizenz NNB, Insuffizienz Nebenniere, Hypoadrenalismus, Unterfunktion Nebenniere, HYPOADRENALISMUS, NEBENNIERENINSUFFIZIENZ, Nebenniereninsuffizienz, Hypokortizismus, Nebennierenunterfunktion
Italian Insufficienza surrenale, Ipofunzione surrenale, Insufficienza surrenale NAS, Iposurrenalismo, Ipoadrenalismo, Ipofunzione della ghiandola surrenale
Dutch hypofunctie bijnier, bijnierinsufficiëntie NAO, insufficiëntie bijnier, hypoadrenalisme, bijnierhypofunctie, bijnierinsufficiëntie, Bijnierhypofunctie, Hypocorticisme, Hypofunctie, bijnier-, Bijniermerginsufficiëntie, Bijnierschorsinsufficiëntie, Bijnierinsufficiëntie, Insufficiëntie, bijnier-
Portuguese Insuficiência supra-renal NE, Hipofunção supra-renal, Hipoadrenalismo, HIPOADRENALISMO, HIPOFUNCAO SUPRA-RENAL, INSUFICIENCIA SUPRA-RENAL, Insuficiência supra-renal, Hipofunção das Glândulas Supra-Renais, Insuficiência Adrenal, Insuficiência Supra-Renal
Spanish Insuficiencia suprarrenal NEOM, Insuficiencia adrenal, Hipofunción suprarrenal, Hipoadrenalismo, Adrenal hypofunction, HIPOADRENALISMO, INSUFICIENCIA SUPRARRENAL, SUPRARRENAL HIPOFUNCION, hipoadrenalismo (trastorno), hipoadrenalismo, hipofunción adrenal, hipofunción suprarrenal (trastorno), hipofunción suprarrenal, Insuficiencia suprarrenal, Hipofunción de las Glándulas Suprarrenales, Insuficiencia Suprarrenal, Hipofuncion de las Glandulas Suprarrenales
Japanese 副腎機能不全ＮＯＳ, 副腎機能不全, ﾌｸｼﾞﾝｷﾉｳﾃｲｶ, ﾌｸｼﾞﾝｷﾉｳﾌｾﾞﾝNOS, ﾌｸｼﾞﾝｷﾉｳﾃｲｶｼｮｳ, ﾌｸｼﾞﾝｷﾉｳﾌｾﾞﾝ, 副腎皮質機能低下症, 副腎機能低下, 副腎機能低下症, 副腎皮質機能低下
Swedish Binjurehypofunktion
Czech nadledviny - hypofunkce, Nedostatečnost nadledvin NOS, Nedostatečnost nadledvin, Adrenální hypofunkce, Adrenální nedostatečnost, Hypoadrenalismus, nadledviny - insuficience, insuficience nadledvin
Finnish Lisämunuaisen vajaatoiminta
Russian NADPOCHECHNIKOV NEDOSTATOCHNOST', NADPOCHECHNIKOV GIPOFUNKTSIIA, НАДПОЧЕЧНИКОВ ГИПОФУНКЦИЯ, НАДПОЧЕЧНИКОВ НЕДОСТАТОЧНОСТЬ
Croatian Not Translated[Adrenal Insufficiency]
Polish Niewydolność kory nadnerczy, Niedoczynność kory nadnerczy
Hungarian Mellékvese-elégtelenség, Adrenalis hypofunctio, Hypadrenia, Mellékvese elégtelenség, Mellékvese hypofunctio, Mellékvese-elégtelenség k.m.n.
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Addisonian crisis (C0151467)

Concepts Disease or Syndrome (T047)
ICD10 E27.2
SnomedCT 190522002, 190526004, 237757001, 24867002, 154707007, 267483004
English ADDISONIAN CRISIS, ADRENAL APOPLEXY, ADRENAL CRISIS, ADRENAL STORM, ADRENOCORTICAL INSUFFICIENCY, ACUTE, CRISIS ADDISONIAN, CRISIS ADRENAL, Addisonian crisis, Adrenal Apoplexy, Adrenocortical insufficiency syndrome, acute, Adrenal crisis syndrome, adrenal crisis (diagnosis), adrenal crisis, Adrenal storm, Acute adrenal insufficiency (& [Addisonian crisis] or [adrenal crisis]) (disorder), Addisonian crisis (disorder), Addisonian crisis (diagnosis), Adrenocortical insufficiency acute, Crisis addisonian, Crisis adrenal, acute adrenal insufficiency, addisonian crisis, adrenal storm, severe adrenal insufficiency, Adrenal crisis, Severe adrenal insufficiency, Acute adrenal insufficiency, Adrenocortical crisis, Severe adrenal insufficiency (disorder), collapse; adrenal, crisis; Addison, crisis; adrenal, adrenal; collapse, adrenal; crisis, adrenal; shock, Addison; crisis, shock; adrenal, Acute adrenal insufficiency (& [Addisonian crisis] or [adrenal crisis])
Italian Insufficienza corticosurrenale acuta, Crisi surrenale, Crisi Addisoniana, Crisi addisoniana, Tempesta surrenale
Dutch adrenale crisis, Addison-crisis, crisis bijnier, adrenale storm, Addison; crisis, adrenaal; crisis, bijnier; collaps, bijnier; shock, collaps; bijnier, crisis; Addison, crisis; adrenaal, shock; bijnier, acute bijnierschorsinsufficiëntie
French Crise d'Addison, Crise surrénale, Crise d'insuffisance surrénale, Crise surrénalienne, CATACLYSME SURRENAL, CRISE SURRENALE, Insuffisance surrénalienne aiguë
German Nebennierenkrise, Krise Nebenniere, Krise Addison, Addison-Krise, ADDISONKRISE, akute Nebennierenrindenueberfunktion, NEBENNIERENKRISE, Nebennierenrindeninsuffizienz akut
Portuguese Crise de Addison, Crise addisoniana, Crise supra-renal, Perturbação supra-renal, CRISE SUPRA-RENAL, Insuficiência adrenocortical aguda
Spanish Crisis adrenal, Crisis addisoniana, Addisonian crisis, Acute adrenal insufficiency (& [Addisonian crisis] or [adrenal crisis]), Acute adrenal insufficiency, Adrenal crisis, Tormenta adrenal, CRISIS SUPRARRENAL, SUPRARRENAL, CRISIS, crisis addisoniana, crisis suprarrenal, insuficiencia adrenal severa, insuficiencia suprarrenal aguda (trastorno), insuficiencia suprarrenal aguda, insuficiencia suprarrenal severa, Insuficiencia córticosuprarrenal aguda
Japanese アジソン病クリーゼ, 急性副腎皮質機能不全, 副腎クリーゼ, ｷｭｳｾｲﾌｸｼﾞﾝﾋｼﾂｷﾉｳﾌｾﾞﾝ, ｱｼﾞｿﾝﾋﾞｮｳｸﾘｰｾﾞ, ﾌｸｼﾞﾝｸﾘｰｾﾞ, ﾌｸｼﾞﾝｽﾄｰﾑ, 副腎ストーム
Czech Addisonská krize, Adrenální krize, Adrenal storm (Akutní vyplavení hormonů kůry nadledvin), Akutní nedostatečnost kůry nadledvin
Korean 아디슨 발증
Hungarian Addison-crisis, Adrenalis crisis, Mellékvese izgalom, Acut mellékvesekéreg elégtelenség, Addisonos crisis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Adrenal cortical hypofunction (C0405580)

Concepts Disease or Syndrome (T047)
ICD9 255.4
SnomedCT 267398003, 386584007, 154707007, 267483004, 68588005, 190527008
English ADRENAL CORTEX INSUFFIENCY, ADRENAL CORTEX HYPOFUNCTION, ADRENAL CORTICAL INSUFFICIENCY, INSUFFICIENCY ADRENAL CORTEX, Adrenal cortical hypofunction, NOS, Adrenocortical hypofunction, NOS, Corticoadrenal insufficiency, NOS, Hypoadrenocorticism, NOS, Corticoadrenal insuffic. NOS, Corticoadrenal insufficiency NOS, Adrenocortical insufficiency syndrome, Adrenal insufficiency NOS, Adrenal cortex hypofunction, Adrenal cortex insuffiency, Adrenal cortical insufficiency, Insufficiency adrenal cortex, Adrenal cortex insufficiency, corticoadrenal insufficiency (diagnosis), corticoadrenal insufficiency, adrenal cortical hypofunction, adrenal cortical insufficiency, Adrenal cortical hypofunction, Adrenal insufficiency, ADRENAL INSUFFICIENCY CORTICAL, Corticoadrenal insufficiency NOS (disorder), adrenal insufficiency, adrenal insufficiencies, adrenal cortex insufficiency, adrenocortical hypofunction, Adrenal Insufficiency, Adrenal cortical hypofunctions, Corticoadrenal insufficiency, Hypoadrenocorticism, Adrenal cortical hypofunction (disorder), Adrenocortical hypofunction, corticoadrenal; deficiency, corticoadrenal; hypofunction, deficiency; corticoadrenal, hypoadrenocorticism, hypofunction; adrenocortical, insufficiency; adrenal, adrenal cortex; deficiency, adrenal; insufficiency
Italian Ipofunzioni corticosurrenali, Ipocorticosurrenalismo, Insufficienza corticosurrenale, Insufficienza della corteccia surrenale, Ipofunzione corticosurrenale
Japanese 副腎皮質機能低下, ﾌｸｼﾞﾝﾋｼﾂｷﾉｳﾃｲｶ, 副腎皮質機能不全, ﾌｸｼﾞﾝﾋｼﾂｷﾉｳﾌｾﾞﾝ, 副腎皮質機能低下症, ﾌｸｼﾞﾝﾋｼﾂｷﾉｳﾃｲｶｼｮｳ
Spanish Corticoadrenal insufficiency, Corticoadrenal insufficiency NOS, Hipoadrenocorticismo, Hipofunción corticosuprarrenal, Insuficiencia de la corteza suprarrenal, Hipofunción cortical suprarrenal, Insuficiencia córticosuprarrenal, Insuficiencia corticoadrenal, CORTEZA SUPRARRENAL, HIPOFUNCION, CORTICOSUPRARRENAL, INSUFICIENCIA, hipoadrenocorticismo, hipofunción adrenocortical, hipofunción de corteza adrenal (trastorno), hipofunción de corteza adrenal, insuficiencia corticoadrenal, SAI (trastorno), insuficiencia corticoadrenal, SAI, insuficiencia corticoadrenal, insuficiencia corticosuprarrenal, insuficiencia suprarrenal (trastorno), insuficiencia suprarrenal, Hipofunción de la corteza suprarrenal
French Insuffisance corticosurrénale, Insuffisance cortico-surrénalienne, Hypofonction cortico-surrénale, Insuffisance corticale surrénalienne, Hypoadrénocorticisme, Insuffisance corticosurrénalienne, Hypofonction de la corticosurrénale, Insuffisance cortico-surrénale, HYPOFONCTIONN CORTICO-SURRENAL, INSUFFISANCE CORTICO-SURRENALE, Hypofonctions adréno-corticales
Dutch bijnierschorshypofunctie, hypoadrenocorticisme, insufficiëntie bijnierschors, bijnierschorsinsufficiëntie, bijnier; insufficiëntie, bijnierschors; deficiëntie, bijnierschors; hypofunctie, cortico-adrenaal; deficiëntie, deficiëntie; cortico-adrenaal, hypofunctie; bijnierschors, insufficiëntie; bijnier, bijnierschorshypofuncties
Portuguese Insuficiência córtico-supra-renal, Insuficiência cortical suprarrenal, Hipoadrenocorticismo, Hipofunção córtico-supra-renal, Insuficiência adrenocortical, HIPOFUNCAO DO CORTEX SUPRA-RENAL, INSUFICIENCIA CORTICO-SUPRA-RENAL, Hipofuncionamento cortical suprarenal
German Nebennierenrindenunterfunktion, Hypoadrenokortizismus, Insuffizienz der Nebennierenrinde, kortikoadrenale Insuffizienz, Nebennierenrindeninsuffizienz, NNR INSUFFIZIENZ, NNR UNTERFUNKTION, Unterfunktionen der Nebennierenrinde
Czech Hypofunkce nadledvinové kůry, Adrenokortikální nedostatečnost, Hypofunkce kůry nadledvin, Adrenokortikální hypofunkce, Nedostatečnost kůry nadledvin, Hypoadrenokorticismus, Insuficience kůry nadledvin, Insuficience adrenálního kortexu, Kortikoadrenální nedostatečnost
Hungarian adrenocorticalis elégtelenség, Mellékvesekéreg insufficientia, Mellékvesekéreg insufficiencia, Corticoadrenalis elégtelenség, Adrenocorticalis hypofunkciók, Mellékvese kéreg hypofunctio, Mellékvesekéreg hypofunctio, Mellékvesekéreg elégtelensége, adrenocorticalis hypofunctio
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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