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Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
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Congenital Adrenal Hyperplasia is th primary cause of Adrenal Insufficiency. Stop deleting links when you haven't a clue about the subject!! I have two kids with CAH and people will come here looking for info about it. Dannycarlton 23:32, 6 June 2006 (UTC)
Danny: the link belongs on the CAH page. Most adrenal insufficiency is caused by steroid therapy and autoimmune causes. Have you reviewed our external links policy yet? JFW | T@lk 00:12, 7 June 2006 (UTC)
DNFTT. JFW | T@lk 02:16, 7 June 2006 (UTC)
This entry lists Waterhouse-Friderichsen syndrome as an adrenal insufficiency condition, but the page of that syndrome says that "It is sometimes said that the hemorrhage in Waterhouse-Friderichsen syndrome causes an acute adrenal insufficiency, but this is inaccurate, since blood cortisol levels are not decreased. The shock, purpura and intravascular clotting are probably the result of an endotoxin mediated immune reaction caused by sepsis." so it seems like there's a contradiction. DiamonDie 11:32, 30 August 2006 (UTC)
I noticed this article was started 4 years ago, but hasn't had any real attention. Hadn't not changed hardly, stayed a stub for 4 years. I'm finishing with ACTH stimulation test which I started and been working on for 6 months and about to call it all done. Submitting reassessment of grade Sept 1st, then I will focus all my attention on this article which I've worked on some the last two nights and will work on for the next few months. This article I will devote to the same as I did ACTH stimulation test. Chrisgj ( talk) 01:54, 22 August 2008 (UTC)
ISBN 9780198570158 (medical textbook) is available at books.google.com, and chapter 12.7 is entirely about adrenal problems. I think that it could be a useful citation for many currently unsupported statements in this article. WhatamIdoing ( talk) 18:06, 8 September 2008 (UTC)
I noticed a problem with the " simple diagnostic table": there seems to be some disagreement among various sources about whether or not aldosterone levels are affected (i.e. decreased) during secondary adrenal insufficiency.
Aldosterone NOT Affected | Aldosterone Affected | Equivocal |
---|---|---|
This source (cited in the article) states: "This form of Addisons [sic] disease [secondary AI] can be traced to a lack of ACTH, which causes a drop in the adrenal glands [sic] production of cortisol but not aldosterone."
"With secondary adrenal insufficiency, aldosterone production is usually not affected." -- LabTestsOnline "Because the adrenal hormone aldosterone is not primarily regulated by pituitary ACTH, patients with secondary adrenal insufficiency continue to produce aldosterone." -- Adrenal Insufficiency, Pejman Cohan, M.D. and Anne Peters, M.D. "An additional feature distinguishing primary adrenocortical insufficiency is the near-normal level of aldosterone secretion seen in pituitary and/or isolated ACTH deficiencies." -- Harrison's Endocrinology |
McPhee et al. write: "No matter what the origin, the clinical manifestations of adrenocortical insufficiency are a consequence of deficiencies of cortisol, aldosterone, and (in women) androgenic steroids." --Pathophysiology of Disease: an Introduction to Clinical Medicine, 4th ed., p. 597; Lange, 2003 |
"In secondary adrenal insufficiency, baseline aldosterone levels may be low or normal...." -- Manual of Endocrinology and Metabolism, by Norman Lavin |
I think the value for aldosterone for secondary AI should be changed to "normal." Also, perhaps this table could use some more scrutiny. —Preceding unsigned comment added by Dwstultz ( talk • contribs) 16:47, 17 May 2011 (UTC)
A suggestion: the intent of most of the table is far from clear. An umbrella heading over columns CRH to K, such as "possible pathologies", could fix that.
And a query: the meaning that I understand the phrase "exogenous steroid use" to intend to convey is use of exogenous corticosteroids. Would there be any disagreement with that? Thanks…
Signatorius ( talk) 12:35, 17 March 2013 (UTC)
The "See also" section contained the following entry for adrenal fatigue, which seems to misleadingly suggest an air of medical legitimacy which the article itself does not:
- Hypoadrenia (adrenal fatigue), the precursor to adrenal insufficiency.
I replaced it with the following, based on the adrenal fatigue article's text:
- Adrenal fatigue (hypoadrenia), a term used in alternative medicine to describe a believed exhaustion of the adrenal glands
-- Piet Delport ( talk) 23:38, 12 April 2012 (UTC)
Can someone add the recommended treatment in the relevant section, in case the adrenal insufficiency is caused by exogenous steroid use? Is it simply a matter of tapering off the medication and waiting for endogenous function to return to normal, or is there something else that can be done in addition to speed up endogenous production recovery?
62.195.45.181 ( talk) 19:33, 17 January 2014 (UTC)
This page was identified as including a disambiguation error based on the term "ADH".
In order to resolve this problem I have removed the wikilink from the term as I am unable to determine, from the context, what it is referring to. If you wish to restore the link please ensure that the term and the link are fully resolved so that no further disambiguation occurs. Perry Middlemiss ( talk) 06:23, 22 January 2015 (UTC)
Hypoadrenalism is common, can be caused by any dose/duration (but more likely in higher/longer courses) and the threshold for testing should be low. doi:10.1210/jc.2015-1218 JFW | T@lk 09:12, 8 June 2015 (UTC)
... for primary hypoadrenalism doi:10.1210/jc.2015-1710 JFW | T@lk 15:39, 18 January 2016 (UTC)
This article was the subject of a Wiki Education Foundation-supported course assignment, between 24 October 2022 and 18 November 2022. Further details are available on the course page. Student editor(s): Oddcomb ( article contribs). Peer reviewers: Nobajoe.
— Assignment last updated by DrDexterN ( talk) 20:34, 14 November 2022 (UTC)
open access overview articles
Endotext: Adrenal insufficiency - https://pubmed.ncbi.nlm.nih.gov/25905309/ -- more detailed
StatPearls: Adrenal insufficiency - https://pubmed.ncbi.nlm.nih.gov/28722862/ Oddcomb ( talk) 01:49, 2 November 2022 (UTC)
This article isn't protected, so you should be able to edit it yourself. If you are still having problems editing it, please ask for advice at WP:TEAHOUSE. |
First time editor, forgive the noobness.
We should mention somewhere that secondary and tertiary adrenal insufficiency are collectively referred to as central adrenal insufficiency. Also consider pointing that search phrase to the adrenal insufficiency page.
Medical literature will sometimes use the phrase "central adrenal insufficiency" without clarifying that this includes both secondary and tertiary adrenal insufficiency. Users searching for that phrase (myself included) can have a hard time understanding the connection.
AscendingOlympus ( talk) 16:29, 16 June 2023 (UTC)
References
{{
cite web}}
: Check date values in: |access-date=
(
help)
This article is rated B-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | |||||||||||
|
Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Adrenal insufficiency.
|
Congenital Adrenal Hyperplasia is th primary cause of Adrenal Insufficiency. Stop deleting links when you haven't a clue about the subject!! I have two kids with CAH and people will come here looking for info about it. Dannycarlton 23:32, 6 June 2006 (UTC)
Danny: the link belongs on the CAH page. Most adrenal insufficiency is caused by steroid therapy and autoimmune causes. Have you reviewed our external links policy yet? JFW | T@lk 00:12, 7 June 2006 (UTC)
DNFTT. JFW | T@lk 02:16, 7 June 2006 (UTC)
This entry lists Waterhouse-Friderichsen syndrome as an adrenal insufficiency condition, but the page of that syndrome says that "It is sometimes said that the hemorrhage in Waterhouse-Friderichsen syndrome causes an acute adrenal insufficiency, but this is inaccurate, since blood cortisol levels are not decreased. The shock, purpura and intravascular clotting are probably the result of an endotoxin mediated immune reaction caused by sepsis." so it seems like there's a contradiction. DiamonDie 11:32, 30 August 2006 (UTC)
I noticed this article was started 4 years ago, but hasn't had any real attention. Hadn't not changed hardly, stayed a stub for 4 years. I'm finishing with ACTH stimulation test which I started and been working on for 6 months and about to call it all done. Submitting reassessment of grade Sept 1st, then I will focus all my attention on this article which I've worked on some the last two nights and will work on for the next few months. This article I will devote to the same as I did ACTH stimulation test. Chrisgj ( talk) 01:54, 22 August 2008 (UTC)
ISBN 9780198570158 (medical textbook) is available at books.google.com, and chapter 12.7 is entirely about adrenal problems. I think that it could be a useful citation for many currently unsupported statements in this article. WhatamIdoing ( talk) 18:06, 8 September 2008 (UTC)
I noticed a problem with the " simple diagnostic table": there seems to be some disagreement among various sources about whether or not aldosterone levels are affected (i.e. decreased) during secondary adrenal insufficiency.
Aldosterone NOT Affected | Aldosterone Affected | Equivocal |
---|---|---|
This source (cited in the article) states: "This form of Addisons [sic] disease [secondary AI] can be traced to a lack of ACTH, which causes a drop in the adrenal glands [sic] production of cortisol but not aldosterone."
"With secondary adrenal insufficiency, aldosterone production is usually not affected." -- LabTestsOnline "Because the adrenal hormone aldosterone is not primarily regulated by pituitary ACTH, patients with secondary adrenal insufficiency continue to produce aldosterone." -- Adrenal Insufficiency, Pejman Cohan, M.D. and Anne Peters, M.D. "An additional feature distinguishing primary adrenocortical insufficiency is the near-normal level of aldosterone secretion seen in pituitary and/or isolated ACTH deficiencies." -- Harrison's Endocrinology |
McPhee et al. write: "No matter what the origin, the clinical manifestations of adrenocortical insufficiency are a consequence of deficiencies of cortisol, aldosterone, and (in women) androgenic steroids." --Pathophysiology of Disease: an Introduction to Clinical Medicine, 4th ed., p. 597; Lange, 2003 |
"In secondary adrenal insufficiency, baseline aldosterone levels may be low or normal...." -- Manual of Endocrinology and Metabolism, by Norman Lavin |
I think the value for aldosterone for secondary AI should be changed to "normal." Also, perhaps this table could use some more scrutiny. —Preceding unsigned comment added by Dwstultz ( talk • contribs) 16:47, 17 May 2011 (UTC)
A suggestion: the intent of most of the table is far from clear. An umbrella heading over columns CRH to K, such as "possible pathologies", could fix that.
And a query: the meaning that I understand the phrase "exogenous steroid use" to intend to convey is use of exogenous corticosteroids. Would there be any disagreement with that? Thanks…
Signatorius ( talk) 12:35, 17 March 2013 (UTC)
The "See also" section contained the following entry for adrenal fatigue, which seems to misleadingly suggest an air of medical legitimacy which the article itself does not:
- Hypoadrenia (adrenal fatigue), the precursor to adrenal insufficiency.
I replaced it with the following, based on the adrenal fatigue article's text:
- Adrenal fatigue (hypoadrenia), a term used in alternative medicine to describe a believed exhaustion of the adrenal glands
-- Piet Delport ( talk) 23:38, 12 April 2012 (UTC)
Can someone add the recommended treatment in the relevant section, in case the adrenal insufficiency is caused by exogenous steroid use? Is it simply a matter of tapering off the medication and waiting for endogenous function to return to normal, or is there something else that can be done in addition to speed up endogenous production recovery?
62.195.45.181 ( talk) 19:33, 17 January 2014 (UTC)
This page was identified as including a disambiguation error based on the term "ADH".
In order to resolve this problem I have removed the wikilink from the term as I am unable to determine, from the context, what it is referring to. If you wish to restore the link please ensure that the term and the link are fully resolved so that no further disambiguation occurs. Perry Middlemiss ( talk) 06:23, 22 January 2015 (UTC)
Hypoadrenalism is common, can be caused by any dose/duration (but more likely in higher/longer courses) and the threshold for testing should be low. doi:10.1210/jc.2015-1218 JFW | T@lk 09:12, 8 June 2015 (UTC)
... for primary hypoadrenalism doi:10.1210/jc.2015-1710 JFW | T@lk 15:39, 18 January 2016 (UTC)
This article was the subject of a Wiki Education Foundation-supported course assignment, between 24 October 2022 and 18 November 2022. Further details are available on the course page. Student editor(s): Oddcomb ( article contribs). Peer reviewers: Nobajoe.
— Assignment last updated by DrDexterN ( talk) 20:34, 14 November 2022 (UTC)
open access overview articles
Endotext: Adrenal insufficiency - https://pubmed.ncbi.nlm.nih.gov/25905309/ -- more detailed
StatPearls: Adrenal insufficiency - https://pubmed.ncbi.nlm.nih.gov/28722862/ Oddcomb ( talk) 01:49, 2 November 2022 (UTC)
This article isn't protected, so you should be able to edit it yourself. If you are still having problems editing it, please ask for advice at WP:TEAHOUSE. |
First time editor, forgive the noobness.
We should mention somewhere that secondary and tertiary adrenal insufficiency are collectively referred to as central adrenal insufficiency. Also consider pointing that search phrase to the adrenal insufficiency page.
Medical literature will sometimes use the phrase "central adrenal insufficiency" without clarifying that this includes both secondary and tertiary adrenal insufficiency. Users searching for that phrase (myself included) can have a hard time understanding the connection.
AscendingOlympus ( talk) 16:29, 16 June 2023 (UTC)
References
{{
cite web}}
: Check date values in: |access-date=
(
help)