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NDT Plus Advance Access published online on October 6, 2009

NDT Plus, doi:10.1093/ndtplus/sfp143
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© The Author 2009. Published by Oxford University Press [on behalf of ERA-EDTA]. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Adrenal insufficiency in a haemodialysis patient

Ryuji Suzuki, Hiroyuki Morita, Hiroki Nishiwaki and Ashio Yoshimura

Division of Nephrology Department of Medicine, Showa University Fujigaoka Hospital 1-30 Fujigaoka, Aoba-ku Yokohama 227-8501, Japan E-mail. morita@showa-university-fujigaoka.gr.jp

The first 10% of the full text of this article appears below.

Sir,

Abnormalities in the hypothalamic–pituitary–adrenocortical (HPA) axis do not usually lead to severe adrenal insufficiency in haemodialysis (HD) patients. However, drug administration may trigger a paradigm shift.

A 67-year-old man receiving HD therapy for 4 years was admitted to our hospital due to a traumatic fracture of the right rib. Treatment with nonsteroidal anti-inflammatory drugs was started . . . [Full Text of this Article]


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