Addison's disease diagnosis based on a skin lesion in primary care: case report

• Autor(a) principal: Brugugnolli, Izabela
• Data de Publicação: 2022
• Outros Autores: Leite, Ana Olívia Guedes, Arantes, Giovanna Emanuella Piffer Soares, Arf, Leonardo Valentini, Faccioli, João Pedro Martoneto, Claudino, Luis Gustavo Cunha
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2823
• topic: Enfermedad de Addison; Insuficiencia suprarrenal; Informes de casos; Atención primaria de salud.; Doença de Addison; Insuficiência adrenal; Relatos de casos; Atenção primária à saúde.; Addison disease; Adrenal insufficiency; Cases reports; Primary health care.

Abstract The Addison Disease, or primary adrenal insufficiency, is an insidious disease and rare, which may present high morbimortality levels when the diagnosis is unknown and the treatment doesn’t start at the right time. There is multiple symptoms, highlighting arterial hypotension, skin hyperpigmentation, hyponatremia and hyperkalemia. When left untreated, it can evolve with adrenal crisis and cardiovascular collapse. The Addison Disease diagnosis is clinical and through the laboratorial discoveries, as high adrenocorticotropic hormone (ACTH) levels and low cortisol plasmatic concentrations. The treatment depends on the cause and requires multidisciplinary approach, but overall can be done with glucocorticoids replacement and, occasionally, other hormones. This article describes an Addison Disease case diagnosed in Primary Health Assistance, an uncommon situation, due to the  beginning nonspecific disease symptoms, which is not considered. Key-words: Addison Disease; Primary Adrenal Insufficiency; Case Report; Primary  Health Assistance.