Comparative Study of the Etiologies, Prevalence, Management of Indian vs Western Countries in Adrenal Insufficiency

Author(s): Abhishek Shrivastava

Adrenal insufficiency requires lifelong glucocorticoid or mineralocorticoid treatment which hampers the quality of life of patient physically as well as emotionally. The clinical presentation and etiologies of adrenal insufficiency may differ in india than in western countries. Adrenal insufficiency presents with a clinical presentation of chronic mineralocorticoid or glucocorticoid deficiency due to failure of adrenal cortex. Failure of adrenal cortex have different etiologies across different borders. Adrenal insufficiency or (addisons disease) is a well-known life threatning condition. The 2 year mortality in primary adrenal insufficiency exceeds 80% and there is 2 fold increase in standardized mortaluty ratio due to cardiovascular or infectious diseases in patients with adrenal insufficiency. As there are no exact known risk factors patient education remains the main strategy for prevention of complications.  

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