Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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OFF-SEASON TAN AND BLUE TONGUE IN CHILDREN WITH KETOSIS

Emanuele Castagno1, Irene Tardivo1, Giulia Grasso1, Patrizia Matarazzo2, Gerdi Tuli2, Antonio Francesco Urbino1
1SC di Pediatria di Urgenza, 2SSVD di Endocrinologia e Diabetologia Pediatrica
AOU Città della Salute e della Scienza di Torino, Ospedale Infantile Regina Margherita, Torino

Marzo 2016

Abstract
Addison’s disease (primary adrenocortical failure) is a rare condition mainly of autoimmune origin. Signs and symptoms are usually mild and non-specific, as abdominal pain, failure to thrive, weight loss, anorexia, vomiting and diarrhoea associated to bronzed skin colour. The diagnosis is often delayed. The paper reports two cases of children in which the association between hyperpigmentation and dehydration with metabolic acidosis, hyponatraemia and hypoglycaemia not proportionate to concomitant vomiting led to the clinical suspect.
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Bibliografia
Charmandari E, Nicolaides NC, Chrousos GP. Adrenal insufficiency. Lancet 2014;383:2152-67. Laureti S, Vecchi L, Santeusiano F, Falorni A. Is the prevalence of Addison’s disease underestimated? J Clin Endocrinol Metab 1999;84:1762. Perry R, Kecha O, Paquette J, Hout C, Van Vliet G, Deal C. Primary adrenal insufficiency in children: twenty years experience at the Sainte-Justine Hospital, Montreal. J Clin Endocrinol Metab 2005;90:3243-50. Patti G, Tornese G, Pellegrin MC, Vecchiato K, Faleschini E, Ventura A. Insufficienza surrnalica: rara ma non troppo. Medico e Bambino 2016;35:21-26 Betterle C. Morlin L. Autoimmune Addison’s disease. Endocr Dev 2011;20:161-72. Brandão Neto RA, de Carvalho JF. Diagnosis and classification of Addison’s disease (autoimmune adrenalitis). Autoimmun Rev 2014;13:408-11. Nieman LK, Chanco Turner ML. Addison’s Disease. Clin Dermatol 2006;24:276-80. Guran T, Buonocore F, Saka N, et al. Rare causes of primary adrenal insufficiency: genetic and clinical characterization of a large nationwide cohort. J Clin Endocrinol Metab 2016;101:284-92. Johannsson G, Falorni A, Skrtic S, et al. Adrenal insufficiency: review of clinical outcomes with recurrent glucocorticoid replacement therapy. Clinical Endocrinology 2015;82:2-11.