Secondary adrenal insufficiency caused by steroids

Thanks for posting this article. I haves shared it with everyone because it’s simple and to the point. I have SAI due to taking asthma medication. There is very little information out there about SAI and the symptoms don’t necessarily match AI. I developed severe fatigue for six months before other symptoms occurred. I have never had low blood pressure. So your article is correct that SAI patients don’t always have low blood pressure. I was the first documented patient at a major hospital to develop SAI from an inhaled steroid. Four years later I am still steroid dependent and suffer from chronic fatigue. A couple of your articles mention dosing for above normal exercise? Do you know where I can find information on this topic?

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Endocrinologists are specialists in hormonal diseases, including adrenal and pituitary conditions that cause secondary adrenal insufficiency. An endocrinologist will have more training and experience in properly diagnosing and treating secondary adrenal insufficiency than most physicians. Most cases of permanent secondary adrenal insufficiency should be managed by an endocrinologist.  In cases of steroid withdrawal for the treatment of medical conditions, endocrinologists often work with the primary physician or specialist in that disease to assess the recovery of pituitary-adrenal reserve and provide guidance about whether long term glucocorticoid therapy is needed.

Another common and under-recognized sign of hypertension is sleep apnea , [54] [55] which is often best treated with nocturnal nasal continuous positive airway pressure (CPAP), but other approaches include the Mandibular advancement splint (MAS), UPPP, tonsillectomy , adenoidectomy , septoplasty , or weight loss. Another cause is an exceptionally rare neurological disease called Binswanger's disease , causing dementia ; it is a rare form of multi-infarct dementia , and is one of the neurological syndromes associated with hypertension. [56]

Secondary adrenal insufficiency caused by steroids

secondary adrenal insufficiency caused by steroids

Another common and under-recognized sign of hypertension is sleep apnea , [54] [55] which is often best treated with nocturnal nasal continuous positive airway pressure (CPAP), but other approaches include the Mandibular advancement splint (MAS), UPPP, tonsillectomy , adenoidectomy , septoplasty , or weight loss. Another cause is an exceptionally rare neurological disease called Binswanger's disease , causing dementia ; it is a rare form of multi-infarct dementia , and is one of the neurological syndromes associated with hypertension. [56]

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