Saima Najam, Syeda Shehla Batool, Ali Raza Haider.
Pregnancy with Addison Disease; a Case Series.
Esculapio J Services Inst Med Sci Jan ;15(4):316-8.

Addison disease or primary adrenocortical insufficiency is rare and potentially lethal endocrine disorder, in pregnancy it is even more rarely seen. We report two cases of Patients with known Addison`s Disease were taking treatment before the pregnancy. Both patients fortunately were of same age and conceived spontaneously but had different associated illnesses. Both were very compliant and cooperative and they both delivered at around 37 weeks, and were managed in collaboration with the endocrinologist and dietician. Both patients had uneventful recovery after normal delivery and caesarean section respectively. Therefore we conclude that Patient education, monitoring and titration of her steroids are the only ways to avoid complications associated with the under or over treatment with steroids and should be managed by the multidisciplinary team.

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