hrp0089p3-p011 | Adrenals and HPA Axis P3 | ESPE2018

Severe Hyponatraemia with Absence of Hyperkalaemia in a Patient with Addison’s Disease

Doneray Hakan , Ozden Ayse , Kizilelma Nagihan Erol

Objective: Autoimmunity of the adrenal gland, also known as Addison’s disease, is characterised by cell mediated immune destruction of the adrenal cortex. We present a child with Addison’s disease who has severe hyponatraemia and normokalemia, which led to an inappropriately low index of suspicion initially at presentation.Case: A 12-year-old boy diagnosed with adrenal deficiency was admitted to hospital with 2 weeks of vomiting, fatigue and we...