Pitfalls in the management of undiagnosed secondary adrenal insufficiency: a case report and review of the literature
Careful management is required while administering hydrocortisone in patients with undiagnosed adrenal insufficiency, as it may cause osmotic demyelination syndrome or refeeding syndrome due to sudden changes in blood electrolytes.
Authors
- Masaya Yamaga
- Tomohiko Yoshida (ORCID: https://orcid.org/0000-0003-4311-9311)
- Koharu Sakai
- Minoru Takemoto
- Takuyo Chiba
Institutions
- International University of Health and Welfare (JP)
Publication Details
- Journal
- Journal of Medical Case Reports
- Published
- 2026-03-03
- DOI
- https://doi.org/10.1186/s13256-026-05924-0
- Citations
- 1
- Primary Topic
- Adrenal Hormones and Disorders
- Type
- article
- Field-Weighted Citation Impact
- 30.73