Secondary adrenal insufficiency classification

Jump to navigation Jump to search

Adrenal insufficiency Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Xyz from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventions

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Secondary adrenal insufficiency classification On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Secondary adrenal insufficiency classification

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Secondary adrenal insufficiency classification

CDC on Secondary adrenal insufficiency classification

Secondary adrenal insufficiency classification in the news

Blogs on Secondary adrenal insufficiency classification

Directions to Hospitals Treating Psoriasis

Risk calculators and risk factors for Secondary adrenal insufficiency classification

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

There is no established system for the classification of [disease name].

OR

[Disease name] may be classified according to [classification method] into [number] subtypes/groups: [group1], [group2], [group3], and [group4].

OR

[Disease name] may be classified into [large number > 6] subtypes based on [classification method 1], [classification method 2], and [classification method 3]. [Disease name] may be classified into several subtypes based on [classification method 1], [classification method 2], and [classification method 3].

OR

Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.

OR

If the staging system involves specific and characteristic findings and features: According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].

OR

The staging of [malignancy name] is based on the [staging system].

OR

There is no established system for the staging of [malignancy name].

Classification

  • [Disease name] may be classified according to [classification method] into [number] subtypes/groups:
    • [group1]
    • [group2]
    • [group3]
    • [group4]

OR

  • [Disease name] may be classified into [large number > 6] subtypes based on:
    • [classification method 1]
    • [classification method 2]
    • [classification method 3]
  • [Disease name] may be classified into several subtypes based on:
    • [classification method 1]
    • [classification method 2]
    • [classification method 3]

OR

  • Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.

OR

  • If the staging system involves specific and characteristic findings and features:
  • According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].

OR

  • The staging of [malignancy name] is based on the [staging system].

OR

  • There is no established system for the staging of [malignancy name].

Three major types:

  • Primary adrenal insufficiency

It is due to impairment of the adrenal glands. 80% are due to an autoimmune disease called Addison's disease or autoimmune adrenalitis. One subtype is called idiopathic, meaning of unknown cause. Other cases are due to congenital adrenal hyperplasia or an adenoma (tumor) of the adrenal gland.

  • Secondary adrenal insufficiency

caused by impairment of the pituitary gland or hypothalamus.[2] Its principal causes include pituitary adenoma (which can suppress production of adrenocorticotropic hormone (ACTH) and lead to adrenal deficiency unless the endogenous hormones are replaced); and Sheehan's syndrome, which is associated with impairment of only the pituitary gland.

  • Tertiary adrenal insufficiency

due to hypothalamic disease and a decrease in the release of corticotropin releasing hormone (CRH).[3] Causes can include brain tumors and sudden withdrawal from long-term exogenous steroid use (which is the most common cause).[4]

 
 
 
 
 
 
 
 
Adrenal Insufficiency
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Primary adrenal insufficiency
 
 
 
 
Secondary adrenal insufficiency
 
 
 
 
Tertiary adrenal insufficiency
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
•Addison's disease
 
 
 
 
*Hypopituitarism **Tumors-Craniopharyngioma **Infections- Tuberculosis, Histoplasmosis
•Vitamin D deficiency
 
 
 
 
Hypothalamic-Pituitary axis (HPA) suppression * Chronic High-dose steroids

References

Template:WH Template:WS