Adverse Effects of Ramadan Fasting in a Girl with Salt-Losing Congenital Adrenal Hyperplasia

المؤلفون المشاركون

Calcaterra, Valeria
Bassanese, Francesco
Clemente, Andrea Martina
Amariti, Rossella
Regalbuto, Corrado
Sala, Anna
Zuccotti, Gian Vincenzo

المصدر

Case Reports in Endocrinology

العدد

المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-3، 3ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2020-12-29

دولة النشر

مصر

عدد الصفحات

3

التخصصات الرئيسية

الأمراض

الملخص EN

Objective.

Congenital adrenal hyperplasia (CAH) is the most common cause of adrenal insufficiency in pediatrics.

Chronic glucocorticoid replacement is the mainstay of treatment in the classic forms of CAH, and mineralocorticoid replacement therapy is mandatory in the salt-wasting form.

Fasting is a mild stressor, which can expose to dehydration, hypotension, hypoglycemia, and acute adrenal crisis in patients with adrenal insufficiency.

Case.

We report the case of an adolescent affected by the classic form with salt-losing CAH, who observed Ramadan for 30 days, without individualized therapeutic management plan.

After Ramadan, a dramatic increase of ACTH level (1081 pg/ml, n.v.

6–57), reduced cortisolemia, tendency to hypotension, and weight loss were recorded.

She experienced insomnia, intense thirst, asthenia, and headache.

The symptoms disappeared restarting the previous therapy schedule and increasing the total hydrocortisone daily dose with progressive restoring of hormonal control.

Conclusion.

Our case confirms that patients with CAH are vulnerable, especially during fasting in Ramadan, with a higher risk of acute adrenal crisis.

CAH patients should reform and individualize their treatment plan and be submitted to careful monitoring.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Calcaterra, Valeria& Bassanese, Francesco& Clemente, Andrea Martina& Amariti, Rossella& Regalbuto, Corrado& Sala, Anna…[et al.]. 2020. Adverse Effects of Ramadan Fasting in a Girl with Salt-Losing Congenital Adrenal Hyperplasia. Case Reports in Endocrinology،Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1147057

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Calcaterra, Valeria…[et al.]. Adverse Effects of Ramadan Fasting in a Girl with Salt-Losing Congenital Adrenal Hyperplasia. Case Reports in Endocrinology No. 2020 (2020), pp.1-3.
https://search.emarefa.net/detail/BIM-1147057

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Calcaterra, Valeria& Bassanese, Francesco& Clemente, Andrea Martina& Amariti, Rossella& Regalbuto, Corrado& Sala, Anna…[et al.]. Adverse Effects of Ramadan Fasting in a Girl with Salt-Losing Congenital Adrenal Hyperplasia. Case Reports in Endocrinology. 2020. Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1147057

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1147057