Dear Sir,
We read with interest the article by Rogers et al in the recent edition of Acute Medicine, regarding the evaluation and management of adrenal failure. It was noted that the investigation and diagnosis of adrenal failure during pregnancy was not discussed; we feel this is an important omission, which was highlighted recently by a young woman who presented to our medical take, two weeks post-partum following her first pregnancy with clinical features in keeping with an Addisonian crisis.
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References
- Desai P, Bhola MH, Dunn E. Posterior Reversible Encephalopathy Syndrome – ‘a headache’ on the AMU. Acute Medicine 2013; 12: 26-29.
- Bartynski WS. Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features. AJNR Am J Neuroradiol. 2008; 1036-1042.
- Jorge S, Lopes JA, De Almeida E, Martins et al .Posterior reversible encephalopathy syndrome (PRES) and chronic kidney disease. Nefrologia. 2007; 650 Spanish.
- Gokce M, Dogan E, Nacitarhan S, Demirpolat G. Posterior reversible encephalopathy syndrome caused by hypertensive encephalopathy and acute uremia. Neurocrit Care. 2006; 133-6.
- Bartynski WS, Tan HP, Boardman JF, Shapiro R et al. Posterior reversible encephalopathy syndrome after solid organ transplantation. AJNR Am J Neuroradiol. 2008; 924-930.
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