Addison's disease: Symptoms, Causes and Treatment
In Addison's disease, or primary adrenal insufficiency, the
adrenal glands are unable to produce the required amounts of the hormones
cortisol and aldosterone. Hormones are chemically active substances produced by
endocrine glands that are needed to ensure the normal functioning of the body.
Cortisol is also called a stress hormone - it is released in
stressful situations, causing an influx of energy and preparing the body for a
response. It regulates blood pressure and blood glucose levels and reduces
inflammation. Prolonged cortisol deficiency can lead to fatigue, low blood
pressure and weight loss.
Aldosterone, on the other hand, is a hormone that regulates
water balance in the body and ensures the metabolism of sodium and potassium.
Lack of it can lead to dehydration, thickening of the blood and loss of cardiac
output.
The symptoms of Addison's disease are due to a lack of
cortisol and aldosterone. For some people, a lack of these hormones can cause
increased pigmentation of the skin, giving it a bronze tone, so this disease is
sometimes called bronchial disease.
Addison's disease can be caused by tuberculosis and other
serious infectious diseases, as well as rare genetic defects, but today its
most common cause is autoimmunity - the body's immune system turning against
the body's own cells, tissues and secretions. Autoimmune Addison's disease
occurs when the body's immune reactions cause severe damage to the adrenal
cortex, preventing it from functioning normally. Unfortunately, the reasons for
autoimmunity are still unclear.
Addison's disease is relatively rare and most commonly
affects people around the age of 30-50, but can occur at any age. People with
other autoimmune diseases have a higher risk of developing autoimmune Addison's
disease.
Symptoms
Particular features of Addison's disease are increased skin
pigmentation, dark gums and skin around the scars, but these symptoms are not
always observed. The other symptoms of the disease are relatively non-specific
and usually manifest rather gradually, so an accurate diagnosis can only be
made by medical examinations.
If you experience any of the following symptoms, be sure to
see a doctor!
• Increased skin pigmentation;
• Darker gums and skin around the scars;
• Constant fatigue;
• Loss of appetite;
• Slimming;
• Low blood pressure;
• Hair loss;
• Gastrointestinal disorders;
• Dizziness;
• Muscle pain;
• Mood swings;
• Irregular menstrual cycle.
Causes
• Autoimmune disorders (the immune system
"attacks" the body's own cells);
• Congenital adrenal damage;
• Tuberculosis;
• HIV;
• Severe and chronic infectious diseases;
• Tumors.
Treatment
The symptoms of the disease are basically treated. Patients
with Addison's disease need to take medication to replace the missing hormones.
The treatment regimen is adapted to each specific case of the disease: the
cause of the disease, the severity, the individual characteristics of the
patient.
Addison's disease cannot be completely cured, but the
patient can live a full life by following the doctor's instructions and taking
the necessary medication.
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