Sekundaer binyrebarkinsufficiens under opioidbehandling
Engelsk titel: Secondary adrenal insufficiency during opiate treatment
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Författare:
Kornholt, Jonatan
Email: jonatankornholt@outlook.com
Språk: Dan
Antal referenser: 5
Dokumenttyp:
Fallbeskrivning
UI-nummer: 16127002
Sammanfattning
A 25-year-old previously healthy man developed secondary adrenal insufficiency during opiate treatment with tramadol and morphine for upper back pain. He experienced a 10 kg weight loss in six weeks.
MRI of the hypothalamus and the pituitary gland ruled out cerebral pathology. After discontinuation of the opiate treatment the condition normalised. Opiate therapy can cause endocrine dysfunction, and
clinicians should always consider adverse drug reactions as a differential diagnosis for unexplained symptoms.