Zulfiqar Ali Bhatti.
Intractable Hypotension due to Adrenal Crisis.
Pak Armed Forces Med J Jan ;53(1):114-5.

A young lady was suffering from long standing inflammatory joint disease rheumatoid arthritis, and was getting prednisilone since long but without proper follow up. She was brought in emergency in shock with BP 60/40 mm Hg. She had temperature of 101F. Rest of the systemic examination was unremarkable. She did not respond to aggressive hemodynamic support. Considering irregular treatment with steroids, later she was supplemented with parental steroids, and again the response was excellent. She was discharged with proper follow up and doing well since then.

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