原发性肾上腺疾病详解.pptVIP

Primary Adrenal Disease Briana Patterson, M.D. Fellow, Pediatric Endocrinology Emory University School of Medicine Objectives Normal adrenal physiology Common causes of primary adrenal insufficiency Evaluation of suspected adrenal insufficiency Acute and chronic management issues Normal Adrenals Adrenal Cortex Adrenal Histology Adrenal physiology 1:HPA axis Adrenal physiology 2:Renin-angiotensin system Steroid Biosynthesis Primary adrenal insufficiency:Etiologies Acquired Autoimmune AIDS Tuberculosis Bilateral injury Hemorrhage Necrosis Metastasis Idiopathic Congenital Congenital adrenal h