{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T22:59:17Z","timestamp":1770677957853,"version":"3.49.0"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T00:00:00Z","timestamp":1707264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Adrenal insufficiency is an uncommon disorder and presents with non\u2010specific symptoms. Identifying adrenal insufficiency in patients with chronic kidney disease requiring dialysis is increasingly difficult as there is a significant overlap of the signs and symptoms of adrenal insufficiency with those seen in chronic kidney failure. We highlight this diagnostic uncertainty in a case series of three patients with chronic kidney disease requiring hemodialysis as renal replacement therapy from a single center identified as hypoadrenal. Steroid replacement improved symptoms and hemodynamic parameters. Increased vigilance for adrenal insufficiency in dialysis patients is necessary. It is likely under recognized in hemodialysis patients given their multi\u2010morbidity.<\/jats:p>","DOI":"10.1111\/hdi.13131","type":"journal-article","created":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T05:23:40Z","timestamp":1707369820000},"page":"229-232","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Adrenal insufficiency in hemodialysis patients\u2014An under\u2010recognized problem: A case series"],"prefix":"10.1111","volume":"28","author":[{"given":"Krupa","family":"Shah","sequence":"first","affiliation":[{"name":"Liverpool Hospital, South Western Sydney Local Health District  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Wong","sequence":"additional","affiliation":[{"name":"Liverpool Hospital, South Western Sydney Local Health District  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathy","family":"Mac","sequence":"additional","affiliation":[{"name":"Liverpool Hospital, South Western Sydney Local Health District  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Namson S.","family":"Lau","sequence":"additional","affiliation":[{"name":"Liverpool Hospital, South Western Sydney Local Health District  Sydney Australia"},{"name":"South West Sydney Clinical School, University of NSW  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent M.","family":"Wong","sequence":"additional","affiliation":[{"name":"Liverpool Hospital, South Western Sydney Local Health District  Sydney Australia"},{"name":"South West Sydney Clinical School, University of NSW  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Makris","sequence":"additional","affiliation":[{"name":"Liverpool Hospital, South Western Sydney Local Health District  Sydney Australia"},{"name":"South West Sydney Clinical School, University of NSW  Sydney Australia"},{"name":"School of Medicine, Western Sydney University  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,7]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Harrison's principles of internal medicine","author":"Jameson J","year":"2019"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(14)70142-1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/0886022X.2010.528114"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-019-02209-x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12412"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-021-02541-5"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgab096"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2014-3191"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfac044"},{"issue":"1","key":"e_1_2_6_11_1","article-title":"Characteristics of adrenal insufficiency in hemodialysis patients","volume":"7","author":"Ohashi N","year":"2021","journal-title":"Ren Replacement Ther"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP15754.OR"}],"container-title":["Hemodialysis International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hdi.13131","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T02:01:45Z","timestamp":1715565705000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hdi.13131"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,7]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/hdi.13131"],"URL":"https:\/\/doi.org\/10.1111\/hdi.13131","archive":["Portico"],"relation":{},"ISSN":["1492-7535","1542-4758"],"issn-type":[{"value":"1492-7535","type":"print"},{"value":"1542-4758","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,7]]},"assertion":[{"value":"2023-09-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}