Adrenal Crisis with Hypercalcemia Precipitated by Levothyroxine Initiation in a Patient with Polyendocrinopathy

Abstract: Polyglandular autoimmune syndrome type 2 involving autoimmune primary adrenal insufficiency and autoimmune hypothyroidism is rare. Fatigue and tiredness are common overlapping symptoms between the two conditions. Initiating levothyroxine in a patient with underlying adrenal insufficiency may precipitate a severe adrenal crisis. Here, we report a case of a 21-year-old lady who presented with an adrenal crisis with hypercalcemia after levothyroxine initiation. This case highlights the importance of taking a proper detailed history and diligent physical examination which can direct the appropriate diagnosis and avoid the preventable consequence.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Adrenal Crisis with Hypercalcemia Precipitated by Levothyroxine Initiation in a Patient with Polyendocrinopathy ; day:01 ; month:10 ; year:2024
Journal of diabetes & endocrine practice ; (01.10.2024)

Contributor
Shwaylia, Fatma
Almazrouei, Raya

DOI
10.1055/s-0044-1791528
URN
urn:nbn:de:101:1-2411281220497.666046252768
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:22 AM CEST

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Associated

  • Shwaylia, Fatma
  • Almazrouei, Raya

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