A GP guide to adult adrenal insufficiency
An in-depth look at primary and secondary adrenal insufficiency, oral glucocorticoid replacement options and how to manage adrenal crisis.
Adrenal insufficiency in adults may follow a variable clinical course, depending on the acuity of onset and associated underlying pathophysiology.
Symptoms may range from the vague, insidious, non-specific features of chronic insufficiency to the collapse of adrenal crisis.
A high level of suspicion is required on the part of the treating clinician to identify this condition.
Patients with a diagnosis of adrenal insufficiency need ongoing support, review and education to ensure appropriate cortisol replacement in maintained in the long term and around sick days.
