Artigo Revisado por pares

Adrenal Insufficiency as a Complication of the Acquired Immunodeficiency Syndrome

1984; American College of Physicians; Volume: 101; Issue: 4 Linguagem: Inglês

10.7326/0003-4819-101-4-497

ISSN

1539-3704

Autores

Greene Lw,

Tópico(s)

Cytomegalovirus and herpesvirus research

Resumo

Brief Reports1 October 1984Adrenal Insufficiency as a Complication of the Acquired Immunodeficiency SyndromeLOREN WISSNER GREENE, M. D., WILLIAM COLE, M.D., JEFFREY B. GREENE, M.D., BRIAN LEVY, M.D., EDDIE LOUIE, M.D., BRUCE RAPHAEL, M.D., H. JOAN WAITKEVICZ, M.D., MANFRED BLUM, M.D.LOREN WISSNER GREENE, M. D.Search for more papers by this author, WILLIAM COLE, M.D.Search for more papers by this author, JEFFREY B. GREENE, M.D.Search for more papers by this author, BRIAN LEVY, M.D.Search for more papers by this author, EDDIE LOUIE, M.D.Search for more papers by this author, BRUCE RAPHAEL, M.D.Search for more papers by this author, H. JOAN WAITKEVICZ, M.D.Search for more papers by this author, MANFRED BLUM, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-101-4-497 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSince the acquired immunodeficiency syndrome was recognized in 1980, various malignancies, infections, and immunologic defects have been found in the affected population. Recently, adrenal necrosis was found at autopsy in ten patients who died of the syndrome (1). Seven of these patients had cytomegalovirus infiltration of the adrenal glands. Whether these patients had adrenal insufficiency is unknown, but this disorder was not suspected before their deaths and no chemical studies were done. A subsequent report described adrenal insufficiency preceding immunodeficiency in one patient (2). However, it remains to be ascertained whether Addison's disease is a feature of the syndrome.During...References1. TAPPER M, ROTTERDAM H, LERNER C, AL'KHAFAJI K, and SEITZMAN P. Adrenal necrosis in the acquired immunodeficiency syndrome. Ann Intern Med. 1984;100:239-41. LinkGoogle Scholar2. GUENTHNER E, RABINOWE S, VAN NIEL A, NAFTILAN A, and DLUHY R. Primary Addision's disease in a patient with the acquired immuno-deficiency syndrome. Ann Intern Med. 1984;100:847-8. LinkGoogle Scholar3. GUTTMAN P. Addison's disease: a statistical analysis of 566 cases and a study of the pathology. Arch Pathol. 1930;10:742-85. Google Scholar4. GREENE J, SIDHU G, and LEWIN S. Mycobacterium avium-intracellulare: a cause of disseminated life-threatening infection in homosexuals and drug abusers. Ann Intern Med. 1982;97:739-46. LinkGoogle Scholar5. EDWARDS O, COURTENAY-EVANS R, GALLEY J, HUNTER J, and TAIT A. Changes in cortisol metabolism following rifampicin therapy. Lancet. 1974; 2:549-51. CrossrefGoogle Scholar6. ELANSARY E and EARIS J. Rifampicin and adrenal crisis. Br Med J [Clin Res]. 1983;286:1861-2. CrossrefMedlineGoogle Scholar7. WERK E, MACGEE J, and SHOLTON L. Effect of diphenylhydantoin on cortisol metabolism in man. J Clin Invest. 1964;43:1824-34. CrossrefMedlineGoogle Scholar8. PONT A, WILLIAMS P, and LOOSE D. Ketoconazole blocks adrenal steroid synthesis. Ann Intern Med. 1982;97:370-2. LinkGoogle Scholar9. DACKIS C, GURPEGUI M, POTTASH A, and GOLD M. Methadone induced hypoadrenalism. Lancet. 1982;2:1167. CrossrefMedlineGoogle Scholar10. KLEIN R, MANN D, FRIEDLAND G, and SURKS M. Adrenocortical function in the acquired immunodeficiency syndrome [Letter]. Ann Intern Med. 1983;99:566. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: LOREN WISSNER GREENE, M. D.; WILLIAM COLE, M.D.; JEFFREY B. GREENE, M.D.; BRIAN LEVY, M.D.; EDDIE LOUIE, M.D.; BRUCE RAPHAEL, M.D.; H. JOAN WAITKEVICZ, M.D.; MANFRED BLUM, M.D.Affiliations: New York University Medical Center Bellevue Hospital Manhattan Veterans Hospital New York Infirmary/Beekman Downtown Hospital New York, New York PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAdrenal Insufficiency: A Forgotten Diagnosis in HIV/AIDS Patients in Developing CountriesReferencesHuman immune deficiency virus (HIV) infection and the hypothalamic pituitary adrenal axisLow dose adrenocorticotropic hormone test and adrenal insufficiency in critically ill acquired immunodeficiency syndrome patientsThe effects of HIV-1 infection on endocrine organsAdrenal function in HIV infectionCYTOMEGALOVIRUSHISTOPLASMOSISAssessment of adrenal function by measurement of salivary steroids in response to corticotrophin in patients infected with human immunodeficiency virusEndocrine EmergenciesLong Term Adrenal Insufficiency Induces Skeletal Muscle Atrophy and Increases the Serum Levels of Active Form Myostatin in Rat SerumPigmentation: A Potential Cutaneous Marker for AIDS?Comparison of 1-μg and 250-μg corticotropin stimulation tests for the evaluation of adrenal function in patients with acquired immunodeficiency syndromeInteractions Between the Hypothalamo-Pituitary-adrenal Axis and the Immunological SystemAdrenal insufficiency in critically ill patients with human immunodeficiency virusEndocrine and Metabolic Manifestations of HIV Infection and AIDSEndocrine and Metabolic Manifestations of HIV Infection and AIDSAdrenal Insufficiency in HIV Infection: A Review and RecommendationsThe HPA Axis and HIV InfectionConcentraciones basales de ACTH y cortisol en niños infectados por el virus de la inmunodeficiencia humanaTwenty-four—hour urinary free cortisol in patients with acquired immunodeficiency syndromeThe Hypothalamo-Pituitary-Adrenal Axis of Athymic Swiss Nude Mice: The Implications of T Lymphocytes in the ACTH Release from Immune Cells aRenal Complications of Intravenous Drug Abuse and Human Immunodeficiency Virus InfectionInsuffisance surrénale périphérique au cours du sidaAdrenal Insufficiency in Patients with AIDS: When to Suspect It and How to Diagnose ItA trial of testosterone therapy for HIV-associated weight lossENDOCRINOLOGIC COMPLICATIONS OF HIV INFECTIONNo increased prevalence of adrenocortical insufficiency in human immunodeficiency virus-associated tuberculosisClinical features of adrenal insufficiency in patients with acquired immunodeficiency syndromeA Unique Thyroid Hormone Response Element in the Human Immunodeficiency Virus Type 1 Long Terminal Repeat That Overlaps the Sp1 Binding SitesManagement of Cytomegalovirus InfectionPrevalence of cortisol deficiency in late HIV diseaseNoninfectious Manifestations of Human Immunodeficiency Virus InfectionMelasma and acquired immunodeficiency syndrome (AIDS)Disorders of Potassium Homeostasis: An Approach Based on Pathophysiology3 Adrenal complications of HIV infectionThe Chemical Pathology of AIDSHyperkalemia With High-Dose Trimethoprim-Sulfamethoxazole TherapyThyroid hypofunction related with the progression of human immunodeficiency virus infectionTrimethoprim-Induced Hyperkalemia in a Patient with AIDSThe adrenal gland in AIDSPathogenesis of human immunodeficiency virus infectionCytomegalovirus infection in acquired immune-deficiency syndromeNeuro-AIDS: primate lentivirus infection and the brainHormonal and immunological pattern in a patient with Acquired Immuno Deficiency Syndrome related complex and Cushing’s syndromeHIV Disease and the Endocrine SystemAlterations in the concentrations and binding properties of sex steroid binding protein and corticosteroid-binding globulin in HIV+patientsModulation of Glucocorticoid Binding to Rat Liver Cytosol Receptor by Lipid-Soluble Extracts from the Serum of AIDS PatientsNon-Hodgkin's lymphoma presenting with primary adrenal insufficiency a disease with an underestimated frequency?Acral hyperpigmented macules and longitudinal melanonychia in AIDS patientsOral lesions of iatrogenic and undefined etiology and neurologic disorders associated with HIV infectionInfektionen durch Epstein-Barr- und ZytomegalievirusEndocrine Complications of AIDS and Drug AddictionEndocrine Manifestations of Human Immunodeficiency Virus (HIV) InfectionAdrenocortical insufficiency with normal serum cortisol levels and hyporeninaemia in a patient with acquired immunodeficiency syndrome (AIDS)Cortisol and immunityBiochemical Thyroid Profile in Patients Infected with the Human Immunodeficiency VirusOral melanotic macules in patients infected with human immunodeficiency virusGrowth and neuroendocrine dysfunction in children with acquired immunodeficiency syndromeAcquired Immunodeficiency Syndrome and the KidneyRenal complications of human immunodeficiency virus type 1The Major Endemic Mycoses in the Setting of AIDS: Clinical ManifestationsRenal Complications of Human Immunodeficiency Virus-Type INephrotoxicity and hyperkalemia in patients with acquired immunodeficiency syndrome treated with pentamidineAzidothymidine-induced hyperpigmentation mimicking primary adrenal insufficiencyMineralocorticoid deficiency in HIV infection.Adrenal Insufficiency in the Intensive Care SettingClinical Approach to Weight Loss in the Patient with HIV InfectionAbnormal free fatty acids and cortisol concentrations in the serum of AIDS patientsAnti-corticosteroid antibodies in AIDS patientsSerious Cytomegalovirus Disease in the Acquired Immunodeficiency Syndrome (AIDS) Clinical Findings, Diagnosis, and TreatmentMARK A. JACOBSON, M.D., JOHN MILLS, M.D.ADRENOCORTICAL LESIONS AND AIDSEndocrine disorders in men infected with human immunodeficiency virusMycobacterium avium-intracellulare and adrenal insufficiency in AIDSLife-Threatening Fluid and Electrolyte Abnormalities Associated with CancerPathology of the pituitary gland in patients with the acquired immune deficiency syndrome (AIDS)Adrenocortical insufficiency associated with Epstein-Barr virus infection in a patient with the Wiskott-Aldrich syndromeGeometric Universality in Brain Allosteric Protein Dynamics:.Hypoglycemia in Hospitalized PatientsHyporeninemic hypoaldosteronism associated with acquired immune deficiency syndromeAcquired Immunodeficiency Syndrome (AIDS)Lack of response to suramin in patients with AIDS and AIDS-related complexAcute Renal Failure in Critically Ill PatientsGastrointestinal Disease in AIDSThe Human Immunodeficiency Virus and the Adrenal MedullaCAROL D. WEISS, M.D.Suramin and Function of the Adrenal CortexCY A. STEIN, M.D., Ph.D., WAYNE SAVILLE, B.S., ROBERT YARCHOAN, M.D., S. BRODER, M.D., EDWARD P. GELMANN, M.D.Body composition studies in patients with the acquired immunodeficiency syndrome 1 October 1984Volume 101, Issue 4Page: 497-498KeywordsAIDSAdrenal glandsAutopsyImmunodeficienciesNecrosis ePublished: 1 December 2008 Issue Published: 1 October 1984 PDF downloadLoading ...

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