Guidance for the prevention and emergency management of adult patients with adrenal insufficiency
Helen Simpson, Jeremy Tomlinson, John Wass, John Dean and Wiebke Arlt
DOI: https://doi.org/10.7861/clinmed.2019-0324
Clin Med July 2020 Helen Simpson
AUniversity College London Hospitals NHS Foundation Trust, London, UK
Roles: consultant endocrinologist
Jeremy Tomlinson
BOxford Centre for Diabetes, Endocrinology and Metabolism, Oxford, UK
Roles: professor of metabolic endocrinology
John Wass
COxford Centre for Diabetes, Endocrinology and Metabolism, Oxford, UK
Roles: professor of endocrinology
John Dean
DRoyal College of Physicians, London, UK
Roles: clinical director for quality improvement and patient safety
Wiebke Arlt
EInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK
Roles: director
Article Information
vol. 20 no. 4 371-378
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History:
- Published online July 16, 2020.
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© Royal College of Physicians 2020. All rights reserved.
Author Information
- Helen Simpson, consultant endocrinologistA⇑,
- Jeremy Tomlinson, professor of metabolic endocrinologyB,
- John Wass, professor of endocrinologyC,
- John Dean, clinical director for quality improvement and patient safetyD and
- Wiebke Arlt, directorE
- AUniversity College London Hospitals NHS Foundation Trust, London, UK
- BOxford Centre for Diabetes, Endocrinology and Metabolism, Oxford, UK
- COxford Centre for Diabetes, Endocrinology and Metabolism, Oxford, UK
- DRoyal College of Physicians, London, UK
- EInstitute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK
- Address for correspondence: Dr Helen Simpson, University College London Hospital, Diabetes and Endocrinology, 3rd Floor Central, 250 Euston Road London NW1 2PG, UK. Email: helen.simpson22{at}nhs.net
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Guidance for the prevention and emergency management of adult patients with adrenal insufficiency
Helen Simpson, Jeremy Tomlinson, John Wass, John Dean, Wiebke Arlt
Clinical Medicine Jul 2020, 20 (4) 371-378; DOI: 10.7861/clinmed.2019-0324
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- Article
- ABSTRACT
- Key points
- Background
- Causes of adrenal insufficiency
- Glucocorticoid preparations
- Drugs affecting glucocorticoid metabolism
- Adrenal crisis (acute adrenal insufficiency)
- Recommended clinical treatment for patients with adrenal insufficiency when undergoing surgery or an invasive procedure
- Management of patients with adrenal insufficiency and intercurrent illness – ‘sick day rules’
- Glucocorticoid replacement during stress
- Children with AI
- Increasing awareness in healthcare professionals and patients of adrenal crisis and its avoidance
- New NHS Steroid Emergency Card
- Supplementary material
- Acknowledgments
- References
- Figures & Data
- Info & Metrics
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