Authors: Hana Velanová; Kamila Greplová; Soňa Holešínská Authors‘ workplace: Všeobecná interní klinika, Fakultní nemocnice Brno Published in: Geriatrie a Gerontologie 2025, 14, č. 2: 80-84 Category: doi: https://doi.org/10.61568/geri/50-6499/20250512/140521
Hypocortical insufficiency (AI) is a condition in which the adrenal cortex does not produce sufficient amounts of hormones, especially cortisol. Gradually developing insufficiency can go unnoticed, especially in the elderly, due to its nonspecific symptoms that can easily be mistaken for other age-related health problems. This case report presents the case of a patient who developed functional hypocorticism after short-term therapy with high doses of glucocorticoids as part of the treatment of covid-19. The patient was repeatedly examined for nonspecific problems including collapse states with hypotension and anorexia with subsequent weight loss. The correct diagnosis was finally revealed by repeated findings of hyponatremia. After starting therapy, the patient‘s condition improved significantly.
adrenocortical insufficiency – glucocorticoids – geriatric – hypocorticism
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