Case of the Month #52 The Shocked Patient

Autoimmune adrenalitis – this is the most common cause in Western Countries and can be associated with syndromes such as Autoimmune Polyendocrine Syndrome type 1 and 2 (APS 1 and 2). Adrenal cortex autoantibodies or antibodies against 21-hydroxylase are present in more than 80% of people with recent-onset autoimmune adrenalitis.  

TB 

Iatrogenic e.g. bilateral adrenalectomy 

Congenital adrenal hyperplasia (in children) 

Infiltration e.g. Amyloidosis 

Adrenal haemorrhage 

Infarction 

Drug side effect e.g. ketoconazole 

Infection e.g. fungal infections