questionsmedicales.fr
Maladies endocriniennes
Maladies des surrénales
Insuffisance surrénale
Insuffisance surrénale : Questions médicales fréquentes
Diagnostic
5
Insuffisance surrénale
Cortisol
ACTH
Test de stimulation
ACTH
Hormones surrénaliennes
Symptômes
Fatigue
Hypotension
Imagerie médicale
Glandes surrénales
Scanner
Tests urinaires
Cortisol
Insuffisance surrénale
Symptômes
5
Symptômes
Fatigue
Troubles de l'humeur
Problèmes digestifs
Nausées
Vomissements
Hyperpigmentation
Peau
Insuffisance surrénale
Anxiété
Dépression
Symptômes psychologiques
Douleurs articulaires
Muscles
Symptômes
Prévention
5
Prévention
Maladies auto-immunes
Insuffisance surrénale
Gestion du stress
Méditation
Prévention
Alimentation
Santé surrénalienne
Prévention
Vaccinations
Infections
Prévention
Antécédents familiaux
Maladies auto-immunes
Risque
Traitements
5
Corticostéroïdes
Traitement
Insuffisance surrénale
Stress
Corticostéroïdes
Ajustement du traitement
Effets secondaires
Hypertension
Corticostéroïdes
Bracelet médical
Urgence
Insuffisance surrénale
Traitements alternatifs
Thérapie hormonale
Insuffisance surrénale
Complications
5
Complications
Crise surrénalienne
Insuffisance surrénale
Problèmes cardiaques
Hypotension
Insuffisance surrénale
Infections
Système immunitaire
Insuffisance surrénale
Santé mentale
Troubles de l'humeur
Insuffisance surrénale
Grossesse
Surveillance
Insuffisance surrénale
Facteurs de risque
5
Facteurs de risque
Maladies auto-immunes
Antécédents familiaux
Âge
Insuffisance surrénale
Risque
Infections virales
Tuberculose
Risque
Stress chronique
Fonction surrénalienne
Risque
Traitements médicaux
Corticostéroïdes
Risque
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"@type": "Question",
"name": "Quels symptômes peuvent indiquer une insuffisance surrénale ?",
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"@type": "Question",
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"@type": "Question",
"name": "Peut-on prévenir l'insuffisance surrénale ?",
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"@type": "Question",
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"position": 12,
"acceptedAnswer": {
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"@type": "Question",
"name": "L'alimentation joue-t-elle un rôle dans la prévention ?",
"position": 13,
"acceptedAnswer": {
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"text": "Une alimentation équilibrée peut soutenir la santé surrénalienne, mais ne prévient pas toujours."
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"@type": "Question",
"name": "Les vaccinations peuvent-elles aider à prévenir l'insuffisance surrénale ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
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"position": 15,
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"name": "Comment ajuster le traitement en cas de stress ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "En période de stress, il peut être nécessaire d'augmenter temporairement la dose de corticostéroïdes."
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"@type": "Question",
"name": "Y a-t-il des effets secondaires aux traitements ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des effets secondaires comme la prise de poids et l'hypertension peuvent survenir."
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{
"@type": "Question",
"name": "Les patients doivent-ils porter un bracelet médical ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un bracelet médical est recommandé pour alerter en cas d'urgence."
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"name": "Des traitements alternatifs existent-ils ?",
"position": 20,
"acceptedAnswer": {
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"text": "Les traitements alternatifs ne remplacent pas la thérapie hormonale, mais peuvent aider."
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"@type": "Question",
"name": "Quelles sont les complications possibles de l'insuffisance surrénale ?",
"position": 21,
"acceptedAnswer": {
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"text": "Les complications incluent la crise surrénalienne, qui peut être mortelle sans traitement."
}
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"@type": "Question",
"name": "L'insuffisance surrénale peut-elle affecter le cœur ?",
"position": 22,
"acceptedAnswer": {
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"text": "Oui, elle peut entraîner des problèmes cardiaques en raison de l'hypotension chronique."
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"@type": "Question",
"name": "Y a-t-il des risques d'infections ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les patients peuvent être plus susceptibles aux infections en raison d'un système immunitaire affaibli."
}
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"name": "Comment l'insuffisance surrénale affecte-t-elle la santé mentale ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut provoquer des troubles de l'humeur et des problèmes cognitifs."
}
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{
"@type": "Question",
"name": "Des complications peuvent-elles survenir lors de la grossesse ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes enceintes avec une insuffisance surrénale doivent être étroitement surveillées."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de l'insuffisance surrénale ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les maladies auto-immunes, les infections et les antécédents familiaux sont des facteurs de risque."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque d'insuffisance surrénale ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'insuffisance surrénale est plus fréquente chez les adultes jeunes et d'âge moyen."
}
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{
"@type": "Question",
"name": "Les infections virales augmentent-elles le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines infections virales, comme la tuberculose, peuvent augmenter le risque d'insuffisance surrénale."
}
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{
"@type": "Question",
"name": "Le stress chronique est-il un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress chronique peut contribuer à l'insuffisance surrénale en affectant la fonction surrénalienne."
}
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{
"@type": "Question",
"name": "Les traitements médicaux peuvent-ils augmenter le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains traitements, comme les corticostéroïdes à long terme, peuvent augmenter le risque."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 18/12/2025
Contenu vérifié selon les dernières recommandations médicales
5 publications dans cette catégorie
Affiliations :
Endocrinology in Charlottenburg, Berlin, Germany.
Publications dans "Insuffisance surrénale" :
3 publications dans cette catégorie
Affiliations :
Department of Medicine I, Division of Endocrinology and Diabetology, University Hospital Wuerzburg, Wuerzburg, Germany. Hahner_S@ukw.de.
Publications dans "Insuffisance surrénale" :
3 publications dans cette catégorie
Affiliations :
Endocrine and Metabolic Unit, Royal Adelaide Hospital, University of Adelaide, Adelaide, SA, Australia.
Publications dans "Insuffisance surrénale" :
3 publications dans cette catégorie
Affiliations :
Department of Clinical Science, University of Bergen, Bergen, Norway.
K.G. Jebsen Center for Autoimmune Diseases, University of Bergen, Bergen, Norway.
Department of Medicine, Haukeland University Hospital, Bergen, Norway.
Publications dans "Insuffisance surrénale" :
3 publications dans cette catégorie
Affiliations :
Unit of Endocrinology, Bambino Gesù Children's Hospital (IRCCS), Rome, Italy.
Publications dans "Insuffisance surrénale" :
3 publications dans cette catégorie
Affiliations :
Endocrinology in Charlottenburg, Berlin, Germany.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Division of Endocrinology, Metabolism and Nutrition, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Department of Medicine I, Division of Endocrinology and Diabetology, University Hospital Wuerzburg, Wuerzburg, Germany.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
M O'Reilly, Academic Department of Endocrinology, Beaumont Hospital, Dublin, Ireland.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
M Sherlock, Academic Department of Endocrinology, Beaumont Hospital, Dublin, Ireland.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Manchester University NHS Foundation Trust, Manchester, UK.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Manchester University NHS Foundation Trust, Manchester, UK.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Manchester University NHS Foundation Trust, Manchester, UK.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Manchester University NHS Foundation Trust, Manchester, UK.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Manchester University NHS Foundation Trust, Manchester, UK Shazli.azmi@manchester.ac.uk.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Department of Molecular Medicine and Surgery, Karolinska Institutet and Department of Endocrinology, Karolinska University Hospital, Stockholm, Sweden.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Division of Endocrinology and Diabetology, Department of Internal Medicine I, University Hospital of Wuerzburg, University of Wuerzburg, Wuerzburg, Germany.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Department of Molecular Medicine and Surgery, Karolinska Institutet and Department of Endocrinology, Karolinska University Hospital, Stockholm, Sweden.
Publications dans "Insuffisance surrénale" :
2 publications dans cette catégorie
Affiliations :
Unit of Endocrinology, Bambino Gesù Children's Hospital (IRCCS), Rome, Italy.
Publications dans "Insuffisance surrénale" :
In sepsis, dysregulation of the hypothalamic-pituitary-adrenal axis, alterations in cortisol metabolism, and tissue resistance to glucocorticoids can all result in relative adrenal insufficiency or cr...
Adrenal insufficiency encompasses a group of congenital and acquired disorders that lead to inadequate steroid production by the adrenal glands, mainly glucocorticoids, mineralocorticoids and androgen...
Adrenal insufficiency (AI) is the clinical manifestation of deficient production of glucocorticoids with occasionally deficiency also in mineralocorticoids and adrenal androgens and constitutes a fata...
Novel aetiologies of AI have emerged; severe acute respiratory syndrome coronavirus 2 infection was linked to increased frequency of primary AI (PAI). A new class of drugs, the immune checkpoint inhib...
Our research has shown that little progress has been made regarding our knowledge on AI. Coronavirus disease 2019 and ICIs use constitute new evidence on the pathogenesis of AI. The short synacthen te...
Iatrogenic adrenal insufficiency (IAI) is the most common form of adrenal insufficiency in adult patients, although its overall exact prevalence remains unclear. IAI is associated with adverse clinica...
Despite the optimization of replacement therapy, adrenal crises still represent life-threatening emergencies in many children with adrenal insufficiency....
We summarized current standards of clinical practice for adrenal crisis and investigated the prevalence of suspected/incipient adrenal crisis, in relation to different treatment modalities, in a group...
Fifty-one children were investigated. Forty-one patients (32 patients <4 yrs and 9 patients >4 yrs) used quartered non-diluted 10 mg tablets. Two patients <4 yrs used a micronized weighted formulation...
Parental education on oral stress dosing and switching to parenteral hydrocortisone when necessary are the essential approaches to prevent adrenal crisis in children....
X-linked adrenoleukodystrophy (X-ALD) is a severe neurodegenerative metabolic disease with a frequency 1:17,000 in newborn boys. Being a major part of X-ALD with an incidence of 70-80% of patients, ad...
To study diagnostic and therapeutic features of primary adrenal insufficiency due to X-ALD....
A retrospective observational comparative study was conducted in 66 male patients, examined and treated in the Pediatric endocrinology department of Endocrinology Research Centre, Research Centre for ...
The median age of X-ALD manifestation was 6.6 years [4.7; 11.1]. The earliest age of AI diagnosis was 1.5 years at the preclinical stage and 1 year 8 months with clinical symptoms. The renin level was...
It is necessary to examine all male patients with AI regardless of the manifestation age to exclude adrenoleukodystrophy, and it is also important to examine patients for the presence of AI regardless...
Allgrove disease is a rare genetic syndrome characterized by adrenal insufficiency, alacrimia, achalasia and complex neurological involvement. Allgrove disease is due to recessive mutations in the AAA...
By analyzing postmortem patient's adrenal gland, we identified a downregulation of Aladin transcript and protein. We found a downregulation of Scavenger receptor class B-1 (SCARB1), a key component of...
These results shed a light on the possible mechanisms linking ACTH resistance, SCARB1 impairment, and defective nucleocytoplasmic transport....
Adrenal insufficiency (AI) is a severe endocrine disorder characterized by insufficient glucocorticoid (GC) and/or mineralocorticoid (MC) secretion by the adrenal glands, due to impaired adrenal funct...
Adrenal metastasis is the most common adrenal malignancy and can be bilateral in up to 43% of patients. Radiotherapy (RT) is one option available to treat adrenal metastases. The risk of primary adren...
Determine the incidence and the timeline of PAI in patients undergoing adrenal RT....
Single-centre longitudinal retrospective cohort study of adult patients with adrenal metastases treated with RT between 2010 and 2021....
Of 56 patients with adrenal metastases treated with adrenal RT, eight (14.3%) patients developed PAI at a median of 6.1 months (interquartile range [IQR]: 3.9-13.8) after RT All patients developing PA...
Patients receiving unilateral adrenal RT with two intact adrenal glands have a low risk of PAI. Patients receiving bilateral adrenal RT have a high risk of PAI and require close monitoring....
In patients with adrenal insufficiency (AI), adrenal crisis (AC) represents a clinical emergency. Early recognition and prompt management of AC or AC-risk conditions in the Emergency Department (ED) c...
Single-centre, retrospective, observational study on pediatric patients followed at the Department of Pediatric Endocrinology of Regina Margherita Children's Hospital of Turin for primary AI (PAI) and...
Among the 89 children followed for AI (44 PAI, 45 CAI), 35 patients (21 PAI, 14 CAI) referred to the PED, for a total of 77 accesses (44 in patients with PAI and 33 with CAI). The main causes of admis...
children with AI may refer to the PED with an acute life-threatening condition that needs prompt recognition and management. These preliminary data indicate how critical the education of children and ...