Adrenal insufficiency

Adrenal insufficiency can be divided into primary and secondary according to the etiology, and can be divided into acute and chronic according to the course of the disease. The most common form of primary adrenal insufficiency is Addison's disease, whose common cause is adrenal tuberculosis or autoimmune adrenalitis; rare causes include deep fungal infections, immunodeficiency, viral infections, malignant tumors, Extensive adrenal bleeding, surgical resection, adrenal white matter dystrophy, and POEMS disease. Secondary adrenal insufficiency, which is most common in long-term application of superphysiological doses of glucocorticoids, can also be secondary to hypothalamic-pituitary diseases, such as saddle tumors, autoimmune pituitary inflammation, trauma, surgical resection, postpartum The massive hemorrhage caused infarction and necrosis of the pituitary, namely Sheehan syndrome and so on.