Insufficiency in the Outpatient and Inpatient 在门诊和住院病人的肾上腺功能不全ppt课件.pptVIP

Hormonal Interactions Treating adrenal insufficiency may unmask diabetes insipidus Hormonal Interactions Increased GH/ IGF-I leads to lower levels of cortisol (11?-HSD1). Thus, treating a patient with hypopituitarism with GH will decrease cortisol levels. Similarly, treating a patient with hypopituitarism with thyroid hormone will decrease cortisol levels. We had one patient that was over-replaced on glucocorticoids, under-replaced on thyroid hormone and not treated with GH. We started GH, decreased her glucocorticoids and increased her L-thyroxine-she went into adrenal crisis. Make change