Discover and read the best of Twitter Threads about #Addisons
Most recents (2)
Diagnose this!
50 year old male. cervical lymph nodes. inguinal lymph nodes. FNAC s/o TB . Started on ATT. After few days
Presents to ER with BP of 84/60, Sodium 122, GRBS 50
1 imaging test to evaluate?
1 drug which may have caused this?
Diagnosis?
#MedTwitter #MedStudents
50 year old male. cervical lymph nodes. inguinal lymph nodes. FNAC s/o TB . Started on ATT. After few days
Presents to ER with BP of 84/60, Sodium 122, GRBS 50
1 imaging test to evaluate?
1 drug which may have caused this?
Diagnosis?
#MedTwitter #MedStudents
Yes indeed
Adrenal #tuberculosis is one of the most common causes of #addisons disease
Rifampicin can precipitate a crisis as it increases the metabolism of cortisol and lowers its levels
Infact Rifampicin can unmask pre existing adrenal insufficiency.
#MedTwitter #MBBS
Adrenal #tuberculosis is one of the most common causes of #addisons disease
Rifampicin can precipitate a crisis as it increases the metabolism of cortisol and lowers its levels
Infact Rifampicin can unmask pre existing adrenal insufficiency.
#MedTwitter #MBBS
#Tuberculosis of adrenal glands occurs when ususally >90% of the gland is destroyed by TB.
usually bilateral in more than 70%.
Hence treatment of coexistent TB may not reverse the insufficiency.
#MedTwitter #MBBS
usually bilateral in more than 70%.
Hence treatment of coexistent TB may not reverse the insufficiency.
#MedTwitter #MBBS
I’ve been asked to give a little insight into my lived experience with #Addisons disease, something I share with, amongst others, #JaneAusten, and JFK.
it’s not actually that easy, as Addison’s is just one part of my weird endocrine tapestry.
But here follows a thread.
it’s not actually that easy, as Addison’s is just one part of my weird endocrine tapestry.
But here follows a thread.
I haven’t always had Addison’s disease. For sure, I’ve had adrenal insufficiency as part of a pan-hypopituitary disorder. My pituitary is supposed to be telling other parts of my endocrine system to produce certain hormones but it isn’t.
So I’m on HRT for thyroid…
So I’m on HRT for thyroid…
…corticosteroids, and sex hormones. Unfortunately, whilst I’ve got a good team in place now, clinical management hasn’t always been perfect.
I was over-medicated with corticosteroids for a sufficient time that my adrenals stopped working properly.
A general physician…
I was over-medicated with corticosteroids for a sufficient time that my adrenals stopped working properly.
A general physician…
