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Adrenal insufficiency presenting as unexplained hypotension in nocturnal home hemodialysis |
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| Authors: | Timothy Jee Kam Koh Christopher T. Chan |
| Affiliation: | 1. Department of Internal Medicine, Division of Nephrology, University Health Network, Toronto General Hospital, Toronto, Ontario, Canada;2. Department of Renal Medicine, Division of Medicine, Tan Tock Seng Hospital, Singapore |
| Abstract: | Adrenal insufficiency is a complication of chronic corticosteroid therapy. Unexplained hypotension may be a manifestation of an adrenal insufficient state in patients with a history of corticosteroid therapy on hemodialysis. We present a series of five cases of patients on nocturnal home hemodialysis with hypotension as the main manifestation of adrenal insufficiency. Unexplained hypotension in patients with a history of corticosteroid therapy should prompt the managing clinician to consider adrenal insufficiency as a possible cause. |
| Keywords: | Adrenal insufficiency nocturnal home hemodialysis hypotension corticosteroid therapy |