Appendicitis Hidden under the Facade of Addison’s Crisis: A Case Report


Authors : Dr. Divya Dharshini Rajavel

Volume/Issue : Volume 9 - 2024, Issue 5 - May

Google Scholar : https://tinyurl.com/2dccmmrn

Scribd : https://tinyurl.com/4eu2pxyv

DOI : https://doi.org/10.38124/ijisrt/IJISRT24MAY2088

Abstract : The clinical picture of Addison’s crisis closely simulatesthat of Acute abdominal Inflammatory diseases. Hence, a differential diagnosis between Addisonian Crisis and Acute Abdominal Inflammation can be confusing and difficult. This is not to say both cannot present in a patient at the same time which can complicate reaching an accurate diagnosis even more. Below is one such case.

References :

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  2. https://emedicine.medscape.com/article/116467-overview#a6
  3. Nieman, L. K., & Lacroix, A. (2020). Addison's disease. The Lancet, 395(10234), 1341-1352. doi:10.1016/S0140-6736(20)30275-1
  4. Charmandari, E., Nicolaides, N. C., & Chrousos, G. P. (2014). Adrenal insufficiency. The Lancet, 383(9935), 2152-2167. doi:10.1016/S0140-6736(13)61684-0
  5. Husebye, E. S., Pearce, S. H., Krone, N. P., & Kämpe, O. (2021). Adrenal insufficiency. The Lancet, 397(10274), 613-629. doi:10.1016/S0140-6736(21)00136-7
  6. 8. Allolio, B. (2015). Extensive expertise in endocrinology. Adrenal crisis. European Journal of Endocrinology, 172(3), R115-R124. doi:10.1530/EJE-14-0824
  7. 10. Johnstone, C. P., & Keck, S. A. (2020). Differentiating acute appendicitis from other causes of abdominal pain. Journal of Emergency Medicine, 59(1), 33-41. doi:10.1016/j.jemermed.2020.03.024

The clinical picture of Addison’s crisis closely simulatesthat of Acute abdominal Inflammatory diseases. Hence, a differential diagnosis between Addisonian Crisis and Acute Abdominal Inflammation can be confusing and difficult. This is not to say both cannot present in a patient at the same time which can complicate reaching an accurate diagnosis even more. Below is one such case.

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