Paul Marik, Author at Hematology Advisor

Paul Marik

All articles by Paul Marik

Adrenal Insufficiency, Critical Illness-Related Corticosteroid Insufficiency

Adrenal Insufficiency Synonym Critical Illness-Related Corticosteroid Insufficiency Related Conditions Addison’s disease Waterhouse-Friderichsen syndrome 1. Description of the problem What every clinician should know There is increasing evidence that in many critically ill patients activation of the hypothalamic-pituitary-adrenal (HPA) axis and the release of cortisol is impaired (adrenal insufficiency). The relative adrenal insufficiency results in inadequate…

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