NDT Plus Advance Access published online on October 6, 2009
NDT Plus, doi:10.1093/ndtplus/sfp143
© 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
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
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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