Publikation

Secondary adrenal insufficiency due to opiate therapy - another differential diagnosis worth consideration

Wissenschaftlicher Artikel/Review - 01.11.2009

Bereiche
PubMed
DOI

Zitation
Schimke K, Greminger P, Brändle M. Secondary adrenal insufficiency due to opiate therapy - another differential diagnosis worth consideration. Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association 2009; 117:649-51.
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association 2009; 117
Veröffentlichungsdatum
01.11.2009
eISSN (Online)
1439-3646
Seiten
649-51
Kurzbeschreibung/Zielsetzung

We report on a 64-year-old patient in whom fentanyl therapy was found to be responsible for the induction of secondary adrenal insufficiency as clearly demonstrated by re-exposure. We conclude that given the widespread use of opiates in chronic pain management physicians should raise their level of awareness for adrenal insufficiency and look for it generously. Opiates should be added to the list of differential diagnoses to be considered routinely in patients with newly diagnosed secondary adrenal insufficiency.